Tax Invoice Invoice Number: C049-19-00509383

Original for Receipt

Keep the original invoice and barcode on medicines intact for returns

Sold By Bill To / Ship To (Patient)

M/S Laxmi Chemist Order Id: 16145540
Manjura Khatun
670 Uttar Panchanna Gram, Paschmi Chowbhaga, Order Date: 2020-02-14 Vill. Barati ,P.O. Baidyapur Shibtala,
First Floor, VIP Nagar, Tiljala, Kolkata
Dist. :Burdwan, , Tarkeshwar, West
Invoice Date: 2020-02-15 Bengal, 712410
DL Number WB/KOL/NBO/R/277130(2024-10-24),
Doctor Name Dr. Shahnawaz,
WB/KOL/BIO/R/277130(2024-10-24),

GSTIN 19AAHFL1873B1ZE POS : 19-West Bengal

S No Description of Goods MFR/MKT HSN Batch No Exp MRP Discount Unit Price GST % Qty Amount

TOR19G04
1 PREGABA 75MG CAP UNI 30049081 06/21 154.41 30.88 123.53 12.00 4 617.64
1
S1981709G
2 FLUGESIC P TAB LUP 30049069 06/21 131.55 26.31 105.24 12.00 3 394.65

PANTAKIND DSR 40MG

3 MAN 30049039 F6AGS025 02/21 80.50 16.10 64.40 12.00 3 241.5
CAPSULE 10'S

Taxable Value SGST % SGST Amt. CGST % CGST Amt.

Notes:
895.57 6.0 53.73 6.0 53.73
0.0 9.0 0 9.0 0
Total 895.57 0.0 53.73 0.0 53.73

For M/S Laxmi Chemist MRP Total 1,253.79

Name of the PharmEasy Savings @ 20.0% -250.75

Pharmacist Swarup Nanda
Subtotal 1003.04

PR Number Rounding Off -0.04

A-16306

Pharmacist Signature

(Rounded Off)
Note: Total savings Rs. 251.00 Total Invoice Amount Rs. 1,003

Amount In Words : One thousand Three Rupees only.

*Charges inclusive of GST (HSN - 9997)
Customer Acknowledgement: I,Manjura Khatun hereby recognise and accept the delivery of my order in full as prescribed by my doctor. I
acknowledge that the ordered medicines are for my own consumption and will not be used to sell to any third party until specified for.
Pharmeasy is only a technology platform and facilitates the connect between the retailer and customer. For further details please visit
Thank You!
https://pharmeasy.in/terms-and-conditions.
For ordering medicines with us

Whether reverse charge is applicable - No

Contact For Support : 07666100300 || Email: care@pharmeasy.in