Tax Invoice/Bill of Supply/Cash Memo
(Triplicate for Supplier)
Sold By : Billing Address :
HUSAIN DHARIWALA Azad Singh
* 402,TAHERI APPARTEMENT, SHIVALAY Village Bass (Kanti), PO Kanti, Teh Narnaul,
COLONY, RAJNDRA NAGR, Rau M/Garh
Indore, MADHYA PRADESH, 452012 ATELI, HARYANA, 123021
IN IN
State/UT Code: 06
PAN No: CKRPD3852L
GST Registration No: 23CKRPD3852L1ZV Shipping Address :
Azad Singh
Azad Singh
Village Bass (Kanti), PO Kanti, Teh Narnaul,
M/Garh
ATELI, HARYANA, 123021
IN
State/UT Code: 06
Place of supply: HARYANA
Place of delivery: HARYANA
Order Number: 402-4506288-1739552 Invoice Number : IN-6681
Order Date: 19.07.2025 Invoice Details : MP-2144470385-2526
Invoice Date : 19.07.2025
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 Olweldz Oncallplus 50 Strips | B0BTC1X96W (
₹299.00 1 ₹299.00 0% IGST ₹0.00 ₹299.00
QU-IQU0-0D6N )
0% IGST ₹0.00
0% None ₹0.00
TOTAL: ₹0.00 ₹299.00
Amount in Words:
Two Hundred Ninety-nine only
For HUSAIN DHARIWALA:
Authorized Signatory
Whether tax is payable under reverse charge - No
*ASSPL-Amazon Seller Services Pvt. Ltd. (FSSAI License No. 10014043001078), ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers
Please note that this invoice is not a demand for payment
Page 1 of 1
Tax Invoice/Bill of Supply/Cash Memo
(Triplicate for Supplier)
Sold By : Billing Address :
HUSAIN DHARIWALA Bitla Francis krupavaram
* 402,TAHERI APPARTEMENT, SHIVALAY Govt hospital medak, Jambikunta
COLONY, RAJNDRA NAGR, Rau MEDAK, TELANGANA, 502110
Indore, MADHYA PRADESH, 452012 IN
IN State/UT Code: 36
PAN No: CKRPD3852L Shipping Address :
GST Registration No: 23CKRPD3852L1ZV Bitla Francis krupavaram
Bitla Francis krupavaram
Govt hospital medak, Jambikunta
MEDAK, TELANGANA, 502110
IN
State/UT Code: 36
Place of supply: TELANGANA
Place of delivery: TELANGANA
Order Number: 402-7121269-1623562 Invoice Number : IN-6682
Order Date: 19.07.2025 Invoice Details : MP-2144470385-2526
Invoice Date : 19.07.2025
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 Glucospark 100 Strips | B0CPCVC615 (
₹499.00 1 ₹499.00 0% IGST ₹0.00 ₹499.00
1C-RPV6-WC0G )
0% IGST ₹0.00
0% None ₹0.00
TOTAL: ₹0.00 ₹499.00
Amount in Words:
Four Hundred Ninety-nine only
For HUSAIN DHARIWALA:
Authorized Signatory
Whether tax is payable under reverse charge - No
*ASSPL-Amazon Seller Services Pvt. Ltd. (FSSAI License No. 10014043001078), ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers
Please note that this invoice is not a demand for payment
Page 1 of 1
Tax Invoice/Bill of Supply/Cash Memo
(Triplicate for Supplier)
Sold By : Billing Address :
HUSAIN DHARIWALA Vijayalakshmi Vemuri
* 402,TAHERI APPARTEMENT, SHIVALAY 1/80, Village Gudur, Saradapeta narikadalapalem
COLONY, RAJNDRA NAGR, Rau GUDURU, ANDHRA PRADESH, 521149
Indore, MADHYA PRADESH, 452012 IN
IN State/UT Code: 37
PAN No: CKRPD3852L Shipping Address :
GST Registration No: 23CKRPD3852L1ZV Vijayalakshmi Vemuri
Vijayalakshmi Vemuri
1/80, Village Gudur, Saradapeta narikadalapalem
GUDURU, ANDHRA PRADESH, 521149
IN
State/UT Code: 37
Place of supply: ANDHRA PRADESH
Place of delivery: ANDHRA PRADESH
Order Number: 403-6617312-5633954 Invoice Number : IN-6683
Order Date: 19.07.2025 Invoice Details : MP-2144470385-2526
Invoice Date : 19.07.2025
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 Olweldz Oncallplus 50 Strips | B0BTC1X96W (
₹299.00 1 ₹299.00 0% IGST ₹0.00 ₹299.00
QU-IQU0-0D6N )
0% IGST ₹0.00
0% None ₹0.00
TOTAL: ₹0.00 ₹299.00
Amount in Words:
Two Hundred Ninety-nine only
For HUSAIN DHARIWALA:
Authorized Signatory
Whether tax is payable under reverse charge - No
*ASSPL-Amazon Seller Services Pvt. Ltd. (FSSAI License No. 10014043001078), ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers
Please note that this invoice is not a demand for payment
Page 1 of 1
Tax Invoice/Bill of Supply/Cash Memo
(Triplicate for Supplier)
Sold By : Billing Address :
HUSAIN DHARIWALA Sibisaji
* 402,TAHERI APPARTEMENT, SHIVALAY Parunthaniyil. house, manalithara.
COLONY, RAJNDRA NAGR, Rau ENKAKKAD, KERALA, 680589
Indore, MADHYA PRADESH, 452012 IN
IN State/UT Code: 32
PAN No: CKRPD3852L Shipping Address :
GST Registration No: 23CKRPD3852L1ZV Sibisaji
Sibisaji
Parunthaniyil. house, manalithara.
ENKAKKAD, KERALA, 680589
IN
State/UT Code: 32
Place of supply: KERALA
Place of delivery: KERALA
Order Number: 405-6311886-4948326 Invoice Number : IN-6685
Order Date: 19.07.2025 Invoice Details : MP-2144470385-2526
Invoice Date : 19.07.2025
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 OneTouch Select Plus Simple glucometer machine with 50 Test
Strips | Simple & accurate testing of Blood sugar levels at home,
Global Iconic Brand, Includes 10 Sterile Lancets + 1 Lancing
₹1,599.00 1 ₹1,599.00 0% IGST ₹0.00 ₹1,599.00
device, Black | B0BY2N4TNV ( O5-31NO-XOB1 )
0% IGST ₹0.00
0% None ₹0.00
TOTAL: ₹0.00 ₹1,599.00
Amount in Words:
One Thousand Five Hundred Ninety-nine only
For HUSAIN DHARIWALA:
Authorized Signatory
Whether tax is payable under reverse charge - No
*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers
Please note that this invoice is not a demand for payment
Page 1 of 1
Tax Invoice/Bill of Supply/Cash Memo
(Triplicate for Supplier)
Sold By : Billing Address :
HUSAIN DHARIWALA Shri Ram Multispeciality Clinic
* 402,TAHERI APPARTEMENT, SHIVALAY Tilak Ward Ramtek
COLONY, RAJNDRA NAGR, Rau RAMTEK, MAHARASHTRA, 441106
Indore, MADHYA PRADESH, 452012 IN
IN State/UT Code: 27
PAN No: CKRPD3852L Shipping Address :
GST Registration No: 23CKRPD3852L1ZV Shri Ram Multispeciality Clinic
Shri Ram Multispeciality Clinic
Tilak Ward Ramtek
RAMTEK, MAHARASHTRA, 441106
IN
State/UT Code: 27
Place of supply: MAHARASHTRA
Place of delivery: MAHARASHTRA
Order Number: 403-6979996-4561923 Invoice Number : IN-6686
Order Date: 19.07.2025 Invoice Details : MP-2144470385-2526
Invoice Date : 19.07.2025
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 K-life GluneoLite Blood Glucose Sugar Testing 100 Strips | ₹759.00 1 ₹759.00 0% IGST ₹0.00 ₹759.00
B07HXTGM88 ( YN-IRPI-4Z8T )
0% IGST ₹0.00
0% None ₹0.00
TOTAL: ₹0.00 ₹759.00
Amount in Words:
Seven Hundred Fifty-nine only
For HUSAIN DHARIWALA:
Authorized Signatory
Whether tax is payable under reverse charge - No
*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers
Please note that this invoice is not a demand for payment
Page 1 of 1