Tax Invoice
ECOMM RETAIL Invoice No. Dated
2ND FLOOR,BOOTH NO.78, SURVEY ECRKT-71 28-Feb-25
NO.41/D1,41/D2,PROPERTY NO.3259,SHOP Delivery Note Mode/Terms of Payment
NO.268, PATIL PLANET, BANJARA CROSS,
Reference No. & Date. Other References
Mahal Bagayat, Vijayapura, Vijayapura,
FBA15K1LRVPB dt. 21-Feb-25
Karnataka, 586103
Buyer’s Order No. Dated
GSTIN/UIN: 29DAIPS5375D1Z8
State Name : Karnataka, Code : 29
Dispatch Doc No. Delivery Note Date
Consignee (Ship to)
PRADHANMANTRI BHARTIYA JAN AUSHADHI KENDRA Dispatched through Destination
First Floor, Shop No.3, Shopping Center Nagar Palika
Shinor Road, Dabhoi, Vadodara, Gujarat, 391110 Terms of Delivery
GSTIN/UIN : 24BAIPT5090C1ZP
State Name : Gujarat, Code : 24
Buyer (Bill to)
PRADHANMANTRI BHARTIYA JAN AUSHADHI KENDRA
First Floor, Shop No.3, Shopping Center Nagar Palika
Shinor Road, Dabhoi, Vadodara, Gujarat, 391110
GSTIN/UIN : 24BAIPT5090C1ZP
State Name : Gujarat, Code : 24
Sl Description of HSN/SAC Quantity Rate per Amount
No. Services
1 SUPPORT SERVICES 998599 287.23
INBOUND TRANSPORTATION FEE
QTY-80PCS
ID-FBA15K1LRVPB
OUTPUT IGST (18%) 18 % 51.70
Total 338.93
Amount Chargeable (in words) E. & O.E
INR Three Hundred Thirty Eight and Ninety Three paise Only
HSN/SAC Taxable IGST Total
Value Rate Amount Tax Amount
998599 287.23 18% 51.70 51.70
Total 287.23 51.70 51.70
Tax Amount (in words) : INR Fifty One and Seventy paise Only
Remarks:
Being against shipment FBA15K1LRVPB
Declaration for ECOMM RETAIL
We declare that this invoice shows the actual price of
the goods described and that all particulars are true
and correct. Authorised Signatory
This is a Computer Generated Invoice
