          NIL PAGARIYA




                                                                                                                                                                                  Tax Invoic
                                                                                                                               Netmeds CS Number: 72007-12345 / Email: ca@netmeds.co
              netmeds com

                india Ki Pharmacy
                       HETAR LIMITED                                                            D-Original for Recipient
          RE                                                                                    Duplicate for Transporter
                RSH WAREHOUSE                                            GSTIN                  D3 Triplicate for Supplier
                                                                         PAN                      24AABCR1718E1ZV
      GODOWN NO.3.4.3 AND 0(20,21)
                                                                                                  AABCR1718E
     JAUNAGAR ESTATE, SCHIND ALPHA HOTEL ASLALI                          Drug Licence No
                                                                                                 GJ-ADR-198643-20 & GJ-ADR-198644-21
     AHMEDABAD - 382427                                                FSSAI                     GJ-ADR-198646-21B & GJ-ADR-198645-208
    STATE CODE 24, GJ                                                                             10721002000145



 Invoice No : CSSG44220390456
                                                                                                 Order Ne : 16773495819049119ASO1
  Invoice Date : 26-02-2023                                                                      Delivery Man :

  Doctor Name : Dr ANILPATIDAR                                                                         Patient Name : Mr/Mrs ParasmalPagariya
  Doctor Address : Justdoc
                             Parasmal Pagariya                                                   Shipping Address :         Parasmal Pagariya
  Billing Address :
                                                                                                 110/1 Budhwariya, Sati Marg. Ujjain
  110/1 Budhwariya. Sati Marg, Ujjain ,Opposite,Ganesh Temple.
                                                                                                 Ujjain, Madhya Pradesh - 456006, India, Mobile; 7974466580
  Ujjain, Madhya Pradesh - 456006, India. Mobile: 7974466580
                                                                                                 Landmark : Opposite, Ganesh Temple.
 Place of supply (State Name) : Madhya Pradesh - 23
                                                                                                 Whether tax is payable on reverse charge basis : N
 State Code: 23. MP
                                                                         Batch No Expiry Qty               Rate                    Disc Taxable
                        Description Of Goods HSN/SAC MRP                                                               Total                                  IGST
  S.No.         Mit                                                                                                                Amt                                        Total Amt
                                                                                                                                           Amt
                                                                                                           .....                                       Rate          Amt      (incl. tax)
   ---                                             30049099          10 SDR5222         0/24                 131.16   131.16       13.12
      1        Usw Pri D Rise 50K Capsule 4'5                                                                                                118.04
                                                                                                                                                        12       14.16
                                                                                                                                                                                  -...
                                                   30049099      21.00 MOH0016          01/24      4         18 75                                                                132.20
                         Fortius 5mg Tablet 10'5                                                                      75.00       11.25
     2          Abbo                                                                                                                         63.75     12
                                                                        10882201                                                                                 7.65            71.4
                        VILACT M 500mg Tablet 30049099            68.20                05/24       6         0.00
                                                                            3                                         365.34      54.80 310.54
          n     Mankind 10%                                                                                                                            12       37.26
                                                                        MT223935       07/24                                                                                    347.80
                                               30049099            88.70 8                                  70.20
                       MAGE 0.5 Tablet 10%                                                                            475.20      1:20     403.02
          4                                                                                                                                                     48 AT          452.7




                            0%           5%           12%          18%           28%                          Total
      IGST                                           107,54                                                 107.54
     Total Item : 4                                                  Total Qty : 17                                                      Sub Total                                      1046.70

                                                                                                                                         Discount Amount                                -150.45
                                                                                                                                         Total Taxable Amount                            896.25
   Rs. In Words: One Thousand Four Rupees only                                                                                           Total Tax Amount                                107.54

                                                                                                                                         Round Off                                           0.21

  Payment Mode : Cash on Delivery                                                                                                        Grand Total                                   1004.00

                                                                    *** Your Total Savings: Rs.150.45 ***
                                                                                                                                                                 ceswith


                                                                                                                                                                      Authorized signatory
 Declaration :
We Declare that this Invoice shows the actual price of the Goods described and that all particulars are true and correct.
Registered Office- 3rd Floor, Court House, Lokmanya Tilak Marg, Dhobi Tala, Mumbel100002 Phone.+91-22 67673800
CIN -U01100MH1999PLC120563 PAN-AABCR1718E Website- www.relianceretail.com. Toll-18001027382 email-customerservice@ril.com

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Netmeds', 'clinic_pharmacy_address': 'HETAR LIMITED, JAUNAGAR ESTATE, SCHIND ALPHA HOTEL ASLALI, AHMEDABAD - 382427, GUJARAT, INDIA', 'clinic_pharmacy_city': 'Ahmedabad', 'clinic_pharmacy_pincode': '382427'}, 'doctor_details': {'doctor_name': 'Dr. ANIL PATIDAR', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mr/Mrs Parasmal Pagariya'}, 'prescription_details': {'date_of_doctor_consultation': '26-02-2023'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'D Rise 50K Capsule', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '24 months'}, {'medicine_name': 'Abbo Fortius 5mg Tablet', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '1 month'}, {'medicine_name': 'VILACT M 500mg Tablet', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '6 months'}, {'medicine_name': 'MAGE 0.5 Tablet', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '8 months'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}