Tax Invoice/Bill of Supply/Cash Memo (Duplicate)

Sold By Sold To Invoice no.: C020692400116873

TATA 1MG Healthcare Solutions Private Limited Patient Name: Laxmi Devi Sahu Date : 2024-04-16
(formerly known as 1mg Healthcare Solutions Private Limited and Delhi Mediart Private Address: In front of town hallnear LIC Order ID : PO10524424252347
Limited) OFFICE, Sehore, 466001, IN
DL Number: 20:MH-TZ7-476886,20B:MH-TZ7-476888,20C:MH-TZ7-476890,20D:MH- Place of supply: Madhya Pradesh
TZ7-476891,21:MH-TZ7-476887,21B:MH-TZ7-476889 Contact: 9893048940
FSSAI License No: 11522016000225 Doctor name & address: Dr. Punit
GST: 27AAFCD7691C1ZJ CIN: U24290DL2016PTC302634 Valjibhai Patel
Registered Address: Level 3, Vasant Square Mall, Pocket V, Sector B, Vasant Kunj, New
Delhi - 110070
Premise Address: Plot No. D-141, 3Rd Floor,T.T.C. Industrial Area, M.I.D.C., Village
Shiravane, Navi Mumbai, Tal : NERUL ( THANE-ZONE7 ), Mumbai, Maharashtra, 400706,
India For Internal Purpose

SR. PRODUCT NAME MFR. Name BATCH NO. EXP. QTY MRP DISC TAXABLE HSN GST RATE GST AMT. TOTAL
DATE AMT. (₹) AMT. (₹) (%) (₹) AMT. (₹)
1 Sartel 80 Tablet - 15 Intas Pharmaceuticals N2303117 10/26 3 174.72 11.16 458.04 30049099 12 54.96 513
Ltd
2 Amlovas-M 5/50 Tablet PR - 10 Macleods TAN2309A 11/25 4 146.0 19.97 503.6 30049099 12 60.43 564.03
Pharmaceuticals Pvt
Ltd
3 Sompraz D 40 Capsule SR - 15 Sun Pharmaceutical SIF0040B 12/25 2 245.0 24.01 416.06 30049099 12 49.93 465.99
Industries Ltd
4 Tide Plus 10 Tablet - 10 Torrent 2RA1K006 11/25 4 48.7 1.60 172.5 30049099 12 20.7 193.2
Pharmaceuticals Ltd
5 Handling Charges - OTH 1 0.00 1.72 998549 12 0.21 1.93
6 Green Packaging Charge - OTH 1 0.00 2.15 998549 12 0.26 2.41
 GST Taxable CGST SGST IGST TOTAL QUANTITY: 13 All disputes related to this For: TATA 1MG
% Amt order are subject to the Healthcare Solutions
GROSS AMOUNT: ₹1792.96 jurisdiction of courts at Private Limited
0 0 0 0 0 Mumbai, Maharashtra
SHIPPING & VAS ₹4.34
5 0 0 0 0 CHARGES: Computer Generated
Invoice.
12 1554.07 0 0 186.49 DISCOUNT ₹56.74
AMOUNT:
18 0 0 0 0
BILL AMOUNT: ₹1740.56
28 0 0 0 0
ROUND OFF: ₹0.44 For Compliance Purpose
*All Values in (₹)
PAYABLE AMOUNT: ₹1741.00
For Support Contact:
________________
Amount in Words: Rupees one thousand, seven hundred and forty-one only care@1mg.com Bringing care to health
Pharmacist Signature
E.&.O.E.
Tax Invoice/Bill of Supply/Cash Memo (Duplicate)

Sold By Sold To Invoice no.: C020692400116874

TATA 1MG Healthcare Solutions Private Limited Patient Name: Smt Laxmi Devi Sahu Date : 2024-04-16
(formerly known as 1mg Healthcare Solutions Private Limited and Delhi Mediart Private Address: In front of town hallnear LIC Order ID : PO10524424252347
Limited) OFFICE, Sehore, 466001, IN
DL Number: 20:MH-TZ7-476886,20B:MH-TZ7-476888,20C:MH-TZ7-476890,20D:MH- Place of supply: Madhya Pradesh
TZ7-476891,21:MH-TZ7-476887,21B:MH-TZ7-476889 Contact: 9893048940
FSSAI License No: 11522016000225 Doctor name & address: shashank dixit
GST: 27AAFCD7691C1ZJ CIN: U24290DL2016PTC302634
Registered Address: Level 3, Vasant Square Mall, Pocket V, Sector B, Vasant Kunj, New
Delhi - 110070
Premise Address: Plot No. D-141, 3Rd Floor,T.T.C. Industrial Area, M.I.D.C., Village
Shiravane, Navi Mumbai, Tal : NERUL ( THANE-ZONE7 ), Mumbai, Maharashtra, 400706,
India For Internal Purpose

SR. PRODUCT NAME MFR. Name BATCH NO. EXP. QTY MRP DISC TAXABLE HSN GST RATE GST AMT. TOTAL
DATE AMT. (₹) AMT. (₹) (%) (₹) AMT. (₹)
1 Aztolet 10 Tablet - 10 Sun Pharmaceutical FHB0045 12/26 4 204.0 23.99 707.15 30049099 12 84.86 792.01
Industries Ltd
2 AB Phylline SR 200 Tablet - 10 Sun Pharmaceutical GTF0148A 12/25 4 276.0 32.02 957.13 30049099 12 114.86 1071.98
Industries Ltd
3 Handling Charges - OTH 1 0.00 1.85 998549 12 0.22 2.07
4 Green Packaging Charge - OTH 1 0.00 2.31 998549 12 0.28 2.59
 GST Taxable CGST SGST IGST TOTAL QUANTITY: 8 All disputes related to this For: TATA 1MG
% Amt order are subject to the Healthcare Solutions
GROSS AMOUNT: ₹1920.00 jurisdiction of courts at Private Limited
0 0 0 0 0 Mumbai, Maharashtra
SHIPPING & VAS ₹4.66
5 0 0 0 0 CHARGES: Computer Generated
Invoice.
12 1668.44 0 0 200.22 DISCOUNT ₹56.01
AMOUNT:
18 0 0 0 0
BILL AMOUNT: ₹1868.65
28 0 0 0 0
ROUND OFF: ₹0.35 For Compliance Purpose
*All Values in (₹)
PAYABLE ₹1869.00
AMOUNT: For Support Contact:
________________
care@1mg.com Bringing care to health
Pharmacist Signature
Amount in Words: Rupees one thousand, eight hundred and sixty-nine only
E.&.O.E.