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KHATU SHYAM MEDICAL & SURGICAL M/s LEELA MEDICAL STORE
AWAS VIKAS, FARRUKHABAD
1/7, NAGLA DEENA 09-UTTAR PRADES
U.P.
LOCO ROAD FATEHGARH,FARRUKHABAD Ph.No.: 9450692318
Phone : 7704868482
E-Mail : ksmedicalsndsurgical@gmail.com GST : 09AGGPK9271P1ZJ D.L.No. : UP76200000363 , UP76210000363
D.L.No. : UP7620B000294,UP7621B000294 S.Return No. : CN00007 Date : 30-10-2023
GSTIN : 09ABQFM2856F1ZU
SALES RETURN Sales Man : Due Date : 29-11-202
Sn. Qty. Pack Product Batch Exp. HSN MRP Rate Dis SGST CGST 3 Amount
1. 12 1X10 RAC-SR CAP MC22836 7/24 30049039 108.00 77.14 5.00 6.00 6.00 925.68
2. 2 1X4 ALENSOL D TAB MT230954 7/24 30045090 267.00 190.71 5.00 6.00 6.00 381.42
3. 2 1X10 RAC-SP TAB <Lot> MT223327 6/24 30049099 108.00 70.13 5.00 0.00 0.00 140.26

GST OTHER 133.25*0%=0SGST, CESS:0%=0

CLASS TOTAL SCH. DISC. SGST CGST TOTAL GST SUB TOTAL 1375.00
GST 5.00 0.00 0.00 0.00 0.00 0.00 0.00 SGST PAYBLE 74.50
GST 12.00 1307.10 0.00 65.35 74.50 74.50 149.00 CGST PAYBLE 74.50
GST 18.00 0.00 0.00 0.00 0.00 0.00 0.00 ADD/LESS 0.00
GST 28.00 0.00 0.00 0.00 0.00 0.00 0.00 CR/DR NOTE 0.00
TOTAL 1307.10 0.00 65.35 74.50 74.50 149.00 GRAND TOTAL 1524.00
Rs. One Thousand Five Hundred Twenty Four Only
BANK DETAILS Reciver For KHATU SHYAM MEDICAL & SURGICAL

BANK NAME- HDFC BANK

A/C No.: 50200058227110,IFSC- HDFC0004418