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Retail Invoice / Bill: Your Total Savings: Rs.0.00

This document is a retail invoice from Healthscape Technology LLP for a purchase made by Mr/Mrs Rashmi Talukdar, detailing two pharmaceutical products with their respective prices and tax information. The invoice includes billing and shipping addresses, along with the delivery details and total amount due of Rs. 85,700. The invoice is dated June 2, 2025, and confirms that the information provided is accurate.

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23 views1 page

Retail Invoice / Bill: Your Total Savings: Rs.0.00

This document is a retail invoice from Healthscape Technology LLP for a purchase made by Mr/Mrs Rashmi Talukdar, detailing two pharmaceutical products with their respective prices and tax information. The invoice includes billing and shipping addresses, along with the delivery details and total amount due of Rs. 85,700. The invoice is dated June 2, 2025, and confirms that the information provided is accurate.

Uploaded by

brpandabcpl
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Retail Invoice / Bill

Toll Free No.: 72007-12345 / Email: cs@netmeds.com

HEALTHSCAPE TECHNOLOGY LLP Original for Recipient


H/NO-117/4/1, Duplicate for Transporter
Triplicate for Supplier
BADU 1ST MAIN ROAD,
GSTIN : 19AALFH7207B1ZI
WARD NO:21, GROUND FLOOR, Drug Licence No : Form 21B : (WB/PGN/BIO/W/199246)
BARASAT MUNICIPALITY - 700128 Form 20B : (WB/PGN/NBO/W/199246)
Dated:25.3.2019

Invoice No : CS725-26-018474 Order No : 2045001003120455SRFSO2


Invoice Date : 02-06-2025 Delivery Man : Delhivery (Prepaid)

Patient Name : Mr/Mrs Rashmi Talukdar


Doctor Name : Dr Pankaj Sonowal
Customer GST No : -

Billing Address : Rashmi Talukdar Shipping Address : Rashmi Talukdar


C/o- Kamal Kr Das, House No.3, C/o- Kamal Kr Das, House No.3,
Sadilapu, Jalukbari, Guwahati-781012, India. Sadilapu, Jalukbari, Guwahati-781012, India.
Mobile: 7086014975 Mobile: 7086014975
Place of supply (State Name) : Assam - 18 Place of supply (State Name) : Assam - 18
Landmark : Near Namghar
Whether tax is payable on reverse charge basis : N

Disc Taxable IGST Total Amt


S.No. Mfr Description Of Goods HSN MRP Batch No Expiry Qty Rate Total
Amt Amt Rate Amt (incl. tax)

1 Pfizer Xeljanz 5mg Tablet


3004 66344.00 0182 02/26 1 66344.00 66344.00 0.00 59235.71 12 7108.29 66344.00

2 Lupin Hyalone 60mg 3004 19356.00 0157 04/26 1 19356.00 19356.00 0.00 17282.14 12 2073.16 19356.00

0% 5% 12% 18% 28% Total


IGST - - 9182.15 - - 9182.15

Total Item : 2 Total Qty : 2 Sub Total : 85700.00


Discount Amount : 0.00
Rs. In Words: Eighty Five Thousand Seven Hundred Rupees only Total Tax Amount : 85700.00

PREPAID Grand Total : 85700.00

*** Your Total Savings: Rs.0.00 ***

Declaration :
We Declare that this Invoice shows the actual price of the Goods described and that all particulars are true and correct.

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