Tax Invoice Invoice Number: BAN33/18/6422

Original for Receipt

Keep the original invoice and barcode on medicines intact for returns

Sold By (Pharmacy) Bill To / Ship To (Patient)

Family Pharma Order Id: 5883416
Krishna Reddy
Shop no:2 Ground floor,4th main,SSA Road Hebbal 2018-11-24
Bangalore-560024
Order Date: #4, ramalingeshwara nilaya,, 7th main,
, Bengaluru, Karnataka, 560073
Invoice Date: 2018-11-24

DL Number KA-B52-171154(2023-09-09), (2023-09-09),

Doctor Name Dr. sreenivas

GSTIN 29AAFFF7268Q1ZH
S No Description of Goods MFR HSN Code Qty Batch No Exp Date MRP Dis% GST % Amount

1 PROLOMET XL 25MG TAB SUN 30049079 3 EST0811 08/20 42.39 30.00 12.00 127.17

2 LOBUN CAP SAN 30049099 9 DLC18009 09/19 383.00 30.00 12.00 3,447

3 AZTOR ASP 75MG CAP 10'S SUN 30049099 3 BST0753 03/20 26.86 30.00 12.00 80.58

4 ARKAMIN 100MCG TAB 30'S UNI 30049076 9 DAN-18064 06/21 49.84 30.00 12.00 448.56

5 BECOSULES CAP 20`S PFI 30045039 3 82029016R 02/20 34.33 30.00 12.00 102.99

6 NULONG 10MG TAB MIC 3004 6 NLBS0012 05/20 82.00 30.00 12.00 492

Tax % SGST % SGST Amt. CGST % CGST Amt.

Notes:
12.00% 6.0 176.19 6.0 176.19

For Family Pharma Total MRP Rs. 4,698.3

Name of the Discount@30.0 % Rs. 1,409.49

Pharmacist Peer Pasha
Amount after Disc. Rs 3,288.81
PR Number 56836 Delivery Charges* 0

Cash Handling Charges* 0

Pharmacist Signature

Note: Total savings Rs. 1409.49 Total Invoice Amount Rs. 3,289

Amount In Words : Three Thousand Two Hundred Eighty Nine Rupees only.
* Charges inclusive of taxes.
Customer Acknowledgement: I,Krishna Reddy hereby recognise and accept the delivery of my order in full as prescribed by my doctor. I
acknowledge that the ordered medicines are for my own consumption and will not be used to sell to any third party until specified for.
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