Tax Invoice/Bill of Supply/Cash Memo (Original for Recipient)
Sold By Sold To Invoice no.: C015332400343818
TATA 1MG Healthcare Solutions Private Limited Patient Name: Sheetal Date : 2024-05-25
(formerly known as 1mg Healthcare Solutions Private Limited and Delhi Mediart Private Address: Flat No.405 Rudra Apartments Order ID : PO14524408559864
Limited) Near Toll Plaza, Bahadrabad Toll Plaza,
Haridwar, 249402, IN,
DL Number: 20-C:5620-H,20:5621-OB,21:5621-B,20-B-HR-66-1505-OW/H,21-B-
HR-66-1505-W/H,20-D:HR-66-1506-H Place of supply: Uttarakhand
FSSAI License No: 10821005001350 Contact: 9086743444
GST: 06AAFCD7691C1ZN CIN: U24290DL2016PTC302634 Doctor name & address: Sushil Razdan
Registered Address: Level 3, Vasant Square Mall, Pocket V, Sector B, Vasant Kunj, New
Delhi - 110070
Premise Address: First Floor Block 3 Hafed Warehouse, New Anaj Mandi, Khandsa Road,
Gurgaon, Haryana, 122001, 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 Aqsusten 50 Injection - 2ml Sun Pharmaceutical ZSB0011 02/26 3 212.0 103.54 475.41 30049099 12 57.05 532.46
Industries Ltd
2 Aqsusten 50 Injection - 2ml Sun Pharmaceutical ZSB0013 02/26 1 212.0 34.51 158.47 30049099 12 19.02 177.49
Industries Ltd
3 Ecosprin 75 Tablet - 14 USV Ltd 4010230 01/26 3 5.49 1.47 13.39 30049099 12 1.61 15
GST Taxable CGST SGST IGST TOTAL QUANTITY: 7 All disputes related to this For: TATA 1MG
% Amt order are subject to the Healthcare Solutions
GROSS AMOUNT: ₹864.47 jurisdiction of courts at Private Limited
0 0 0 0 0 Gurgaon, Haryana
DISCOUNT ₹139.52
5 0 0 0 0 AMOUNT: Computer Generated
Invoice.
12 647.27 0 0 77.68 BILL AMOUNT: ₹724.95
18 0 0 0 0 ROUND OFF: ₹0.05
28 0 0 0 0 PAYABLE AMOUNT: ₹725.00
For Compliance Purpose
*All Values in (₹)
Amount in Words: Rupees seven hundred and twenty-five only For Support Contact:
________________
E.&.O.E. care@1mg.com Bringing care to health
Pharmacist Signature
Tax Invoice/Bill of Supply/Cash Memo (Original for Recipient)
Sold By Sold To Invoice no.: C015332400343819
TATA 1MG Healthcare Solutions Private Limited Patient Name: Sheetal Date : 2024-05-25
(formerly known as 1mg Healthcare Solutions Private Limited and Delhi Mediart Private Address: Flat No.405 Rudra Apartments Order ID : PO14524408559864
Limited) Near Toll Plaza, Bahadrabad Toll Plaza,
Haridwar, 249402, IN,
DL Number: 20-C:5620-H,20:5621-OB,21:5621-B,20-B-HR-66-1505-OW/H,21-B-
HR-66-1505-W/H,20-D:HR-66-1506-H Place of supply: Uttarakhand
FSSAI License No: 10821005001350 Contact: 9086743444
GST: 06AAFCD7691C1ZN CIN: U24290DL2016PTC302634 Doctor name & address: Dr. Kamatham
Harika
Registered Address: Level 3, Vasant Square Mall, Pocket V, Sector B, Vasant Kunj, New
Delhi - 110070
Premise Address: First Floor Block 3 Hafed Warehouse, New Anaj Mandi, Khandsa Road,
Gurgaon, Haryana, 122001, 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 Doxinate Tablet - 30 Maneesh DXM2407 12/26 1 277.2 38.53 213.1 30049099 12 25.57 238.67
Pharmaceuticals Ltd
2 Duphaston 10mg Tablet - 10 Abbott KAVA4003 12/26 2 874.0 392.60 1210.18 30043919 12 145.22 1355.4
3 Folvite Active Capsule with Methyl Pfizer Ltd 2432006F 01/26 1 292.0 32.00 232.14 30049099 12 27.86 260
Folate, Methylcobalamin & Pyridoxal-5-
Phosphate - 15
GST Taxable CGST SGST IGST TOTAL QUANTITY: 4 All disputes related to this For: TATA 1MG
% Amt order are subject to the Healthcare Solutions
GROSS AMOUNT: ₹2317.20 jurisdiction of courts at Private Limited
0 0 0 0 0 Gurgaon, Haryana
DISCOUNT ₹463.13
5 0 0 0 0 AMOUNT: Computer Generated
Invoice.
12 1655.42 0 0 198.65 BILL AMOUNT: ₹1854.07
18 0 0 0 0 ROUND OFF: ₹-0.07
28 0 0 0 0 PAYABLE ₹1854.00
AMOUNT: For Compliance Purpose
*All Values in (₹)
Amount in Words: Rupees one thousand, eight hundred and fifty-four only For Support Contact:
________________
E.&.O.E. care@1mg.com Bringing care to health
Pharmacist Signature
