Invoice no.

:
Tax Invoice/Bill of Supply/Cash Memo
01022N2300263819
(Original for Recipient)
Date : 2023-08-26
Order ID :
PO23723241140627

For Internal Purpose

Sold By Sold To
TATA 1mg Healthcare Solutions Private Limited Patient Name: Sweety Gupta
Address: 327 b tejab mill campus kanpur, ,
(formerly known as 1mg Healthcare Solutions Private Limited
Kanpur, 208012, India,
and Delhi Mediart Private Limited)
Place of supply: Uttar Pradesh
DL Number: Contact: 9889787255
21B:UP3221B003204,20B:UP3220B003220,20:UP32200003086,
21:UP32210003081
Doctor name & address: Dr. Harika
FSSAI License No: 12721066001328 Annavaram
GST: 09AAFCD7691C1ZH
CIN: U24290DL2016PTC302634
Registered Address: Level 3, Vasant Square Mall, Pocket V,
Sector B, Vasant Kunj, New Delhi - 110070
Premise Address: 1st Floor E-202, Transport Nagar, Lucknow,
Uttar Pradesh, 226012, India

SR. PRODUCT NAME Mfr. Name BATCH EXP. QTY UOM Pack MRP (₹) DISC TAXABLE HSN GST GST TOTAL
NO. DATE (Unit) Size AMT. (₹) AMT. (₹) RATE AMT. AMT. (₹)
(%) (₹)

1 Eltroxin 75mcg Glaxo 367G 11/24 1 120 192.19 15.41 157.84 3004909 12 18.94 176.78
Tablet SmithKline 9
Pharmaceutic
als Ltd

2 Zandu Karela Emami Ltd KR000 05/25 1 ltr 1 340.0 70.99 240.19 3004909 12 28.82 269.01
Jamun +3 Herbs 5 9
Health Juice

3 Calcirol Sachet Cadila JKAZ23 02/25 2 gm 1 33.95 9.02 52.57 3004909 12 6.31 58.88
Pharmaceutic 014 9
als Ltd

4 Calcirol Sachet Cadila JKAZ23 06/25 2 gm 1 38.06 10.12 58.93 3004909 12 7.07 66
Pharmaceutic 027 9
als Ltd

5 Green Packaging 1 OTH 0.00 2.11 998549 12 0.25 2.36

Charge
 GST% Taxable CGST (₹) SGST (₹) IGST (₹) TOTAL QUANTITY: 6
Amt (₹)
GROSS AMOUNT: ₹676.21
0 0 0 0 0
SHIPPING & VAS ₹2.36
5 0 0 0 0 CHARGES:
12 511.64 30.7 30.7 0 DISCOUNT AMOUNT: ₹105.54
18 0 0 0 0 BILL AMOUNT: ₹573.03
28 0 0 0 0 ROUND OFF: ₹-0.03
PAYABLE AMOUNT: ₹573.00

For Compliance Purpose

Amount in Words: Rupees five hundred and seventy-three only E.&.O.E.

All disputes related to this order are subject to the jurisdiction of courts at For: TATA 1mg Healthcare Solutions Private Limited

Lucknow, Uttar Pradesh

Computer Generated Invoice. ____ ____ ____ ____
Pharmacist Signature

For Support Contact: care@1mg.com

Transit mode: By Road/Air

Bringing care to health