P. R.

AGENCIES TO : SHREE LOKANATH AYURVED BHANDAR

TARACHANDPATNA EXPIRY/BKG RADHARANIPADA, BOLANGIR-767001
PITHAPUR,CUTTACK-753009 BOLANGIR.
D.L. NO.:BOWZ 314 W, BOWZ 315 WC.
PHONE NO: PH:0671-22032185,9338703185 GSTIN : 21AABFL2824Q1ZB
Email : pragencies.ctc@gmail.com
Sal. Rtn No.: E-18
D.L.NO.: CU/13967W,13968WC,CU/4341WX
CREDIT NOTE Date : 16-11-2023
GSTIN : 21AAJFP4920F1ZL

SL P R O D U C T UNIT BATCH EXPIR QNTY RATE M.R.P AMOUNT DIS% GST%

1 ACLOPAS TAB 10TAB PWTAA08 09-23 5 54.64 85.00 273.20 12
2 CALASTHI FORTE TAB 15TAB PWTAC05 09-23 50 77.14 120.00 3857.00 12
3 COLLER-F SUSPENSION 60ML PWTAM04 04-23 5 43.71 68.00 218.55 16.67 12
4 DUEDEX SYP 100ML IPC21006 08-23 23 47.57 74.00 1094.11 16.67 12
5 FREECID-DSR CAP 15CAP PWTAS05 09-23 20 102.85 160.00 2057.00 12
6 IP-GEST CAP 10 ca 001 08-23 45 63.00 98.00 2835.00 12
7 RXCLAV DS SYP228.5MG 30 ML MWTAB03 05-23 8 43.27 60.58 346.16 16.67 12

12% TOTAL TAXFREE IGST AMT CGST AMT SGST AMT

TAXABLE 10404.50 10404.50 624.27 624.27
TAX AMT 1248.54 1248.54
MRP VALUE BASIC AMT DISC. AMT ROUND OFF. TOTAL AMOUNT
16561.64 10681.02 276.52 -0.04 11653.00
CLAIM NO. .C0016,DT.13/06/2023. P. R. AGENCIES

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