Invoice no.

:
Tax Invoice/Bill of Supply/Cash Memo
01533N2300908917
(Original for Recipient)
Date : 2023-08-17
Order ID :
PO22623225689685

For Internal Purpose

Sold By Sold To
TATA 1MG Healthcare Solutions Private Limited Patient Name: Ram Kumari
Address: F14, Faculty Housing, Iim Rohtak
(formerly known as 1mg Healthcare Solutions Private Limited
Campus, Indian Institute Of Management–
and Delhi Mediart Private Limited) Rohtak (IIM–Rohtak), Rohtak, 124010, IN,
DL Number: 20-C:5620-H,20:5621-OB,21:5621-B,20-B- Place of supply: Haryana
HR-66-1505-OW/H,21-B-HR-66-1505-W/H,20-D:HR-66-1506- Contact: 9010726595
H
FSSAI License No: 10821005001350 Doctor name & address: karan bhutani
GST: 06AAFCD7691C1ZN
CIN: U24290DL2016PTC302634
Registered Address: Level 3, Vasant Square Mall, Pocket V,
Sector B, Vasant Kunj, New Delhi - 110070
Premise Address: First Floor Block 3 Hafed Warehouse, New
Anaj Mandi, Khandsa Road, Gurgaon, Haryana, 122001, 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 Sitared XR Tablet Sun GTD151 01/24 5 10 145.0 79.97 575.92 3004909 12 69.11 645.03
Pharmaceutic 3A 9
al Industries
Ltd

2 Green Packaging 1 OTH 0.00 1.68 998549 12 0.2 1.88

Charge

GST% Taxable CGST (₹) SGST (₹) IGST (₹) TOTAL QUANTITY: 5
Amt (₹)
GROSS AMOUNT: ₹725.00
0 0 0 0 0
SHIPPING & VAS ₹1.88
5 0 0 0 0 CHARGES:
12 577.6 34.66 34.66 0 DISCOUNT AMOUNT: ₹79.97
18 0 0 0 0 BILL AMOUNT: ₹646.91
28 0 0 0 0 ROUND OFF: ₹0.09
PAYABLE AMOUNT: ₹647.00

For Compliance Purpose

Amount in Words: Rupees six hundred and forty-seven 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

Gurgaon, Haryana
Computer Generated Invoice. ____ ____ ____ ____
Pharmacist Signature

For Support Contact: care@1mg.com

Transit mode: By Road/Air

Bringing care to health

 Invoice no.:
Tax Invoice/Bill of Supply/Cash Memo
01533N2300908918
(Original for Recipient)
Date : 2023-08-17
Order ID :
PO22623225689685

For Internal Purpose

Sold By Sold To
TATA 1MG Healthcare Solutions Private Limited Patient Name: Swati Pradhan
Address: F14, Faculty Housing, Iim Rohtak
(formerly known as 1mg Healthcare Solutions Private Limited
Campus, Indian Institute Of Management–
and Delhi Mediart Private Limited) Rohtak (IIM–Rohtak), Rohtak, 124010, IN,
DL Number: 20-C:5620-H,20:5621-OB,21:5621-B,20-B- Place of supply: Haryana
HR-66-1505-OW/H,21-B-HR-66-1505-W/H,20-D:HR-66-1506- Contact: 9010726595
H
FSSAI License No: 10821005001350 Doctor name & address: Dr. Jamal Ahmed
GST: 06AAFCD7691C1ZN
CIN: U24290DL2016PTC302634
Registered Address: Level 3, Vasant Square Mall, Pocket V,
Sector B, Vasant Kunj, New Delhi - 110070
Premise Address: First Floor Block 3 Hafed Warehouse, New
Anaj Mandi, Khandsa Road, Gurgaon, Haryana, 122001, 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 Udapa 10 Tablet USV Ltd BRD050 04/26 3 10 132.0 40.99 316.97 3004909 12 38.04 355.01
79A 9

2 Green Packaging 1 OTH 0.00 0.92 998549 12 0.11 1.03

Charge

GST% Taxable CGST (₹) SGST (₹) IGST (₹) TOTAL QUANTITY: 3
Amt (₹)
GROSS AMOUNT: ₹396.00
0 0 0 0 0
SHIPPING & VAS ₹1.03
5 0 0 0 0 CHARGES:
12 317.89 19.08 19.08 0 DISCOUNT AMOUNT: ₹40.99
18 0 0 0 0 BILL AMOUNT: ₹356.04
28 0 0 0 0 ROUND OFF: ₹-0.04
PAYABLE AMOUNT: ₹356.00

For Compliance Purpose

Amount in Words: Rupees three hundred and fifty-six 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

Gurgaon, Haryana
Computer Generated Invoice. ____ ____ ____ ____
Pharmacist Signature

For Support Contact: care@1mg.com

Transit mode: By Road/Air

Bringing care to health

 Invoice no.:
Tax Invoice/Bill of Supply/Cash Memo
01533N2300908919
(Original for Recipient)
Date : 2023-08-17
Order ID :
PO22623225689685

For Internal Purpose

Sold By Sold To
TATA 1MG Healthcare Solutions Private Limited Patient Name: Swati
Address: F14, Faculty Housing, Iim Rohtak
(formerly known as 1mg Healthcare Solutions Private Limited
Campus, Indian Institute Of Management–
and Delhi Mediart Private Limited) Rohtak (IIM–Rohtak), Rohtak, 124010, IN,
DL Number: 20-C:5620-H,20:5621-OB,21:5621-B,20-B- Place of supply: Haryana
HR-66-1505-OW/H,21-B-HR-66-1505-W/H,20-D:HR-66-1506- Contact: 9010726595
H
FSSAI License No: 10821005001350 Doctor name & address: Dr. Adab Alwinder
GST: 06AAFCD7691C1ZN Singh
CIN: U24290DL2016PTC302634
Registered Address: Level 3, Vasant Square Mall, Pocket V,
Sector B, Vasant Kunj, New Delhi - 110070
Premise Address: First Floor Block 3 Hafed Warehouse, New
Anaj Mandi, Khandsa Road, Gurgaon, Haryana, 122001, 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 Gluconorm SR Lupin Ltd U30098 04/25 1 15 33.75 3.68 26.85 3004909 12 3.22 30.07
500mg Tablet 9 9

2 Green Packaging 1 OTH 0.00 0.08 998549 12 0.01 0.09

Charge

GST% Taxable CGST (₹) SGST (₹) IGST (₹) TOTAL QUANTITY: 1
Amt (₹)
GROSS AMOUNT: ₹33.75
0 0 0 0 0
SHIPPING & VAS ₹0.09
5 0 0 0 0 CHARGES:
12 26.93 1.61 1.61 0 DISCOUNT AMOUNT: ₹3.68
18 0 0 0 0 BILL AMOUNT: ₹30.16
28 0 0 0 0 ROUND OFF: ₹-0.16
PAYABLE AMOUNT: ₹30.00

For Compliance Purpose

Amount in Words: Rupees thirty 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

Gurgaon, Haryana
Computer Generated Invoice. ____ ____ ____ ____
Pharmacist Signature

For Support Contact: care@1mg.com

Transit mode: By Road/Air

Bringing care to health