Tax Invoice/Bill of Supply/Cash Memo (Original for Recipient)

Sold By Sold To Invoice no.: C020822402807172

TATA 1MG Healthcare Solutions Private Limited Patient Name: Umamaheshwari Date : 2025-03-31
DL Number: 20:KA-BRC-225733,20B:KA-BRC-225735,21:KA-BRC-225734,21B:KA- Address: F2, GK Gardenia, Sai Nagar, 3rd Order ID : PO08825234711178
BRC-225736,20C:KA-BRC-226858,20D:KA-BRC-226859 Street, Sree Sai Nagar, Chennai, IN,
FSSAI License No: 11222303000209 Place of supply: Tamil Nadu
GST: 29AAFCD7691C1ZF CIN: U24290DL2016PTC302634 Contact: 7904540364
Registered Address: 2nd Floor, Plot No. B-225, Okhla Industrial Area, Phase-I, South Doctor name & address: srinivasan
Delhi, New Delhi-110020, Delhi medical college and hospital
Premise Address: Ground Floor, Survey No. 75, Makali Post, Madanayakanahalli,
Dasanapura Hobli, Nelamangala, Makali Post, Nelamangala, Bangalore, Karnataka,
562162, India

For Internal Purpose

SR. PRODUCT NAME MFR. Name BATCH NO. EXP. QTY MRP DISC TAXABLE HSN GST RATE GST AMT. TOTAL
DATE AMT. (₹) AMT. (₹) (%) (₹) AMT. (₹)
1 Rosuvas 10 Tablet - 15 Sun Pharmaceutical SIG0258A 06/27 2 339.0 149.91 471.51 30049099 12 56.58 528.09
Industries Ltd
2 Rablet 20 Tablet - 15 Lupin Ltd UA02039 07/26 2 208.8 92.00 290.71 30049099 12 34.89 325.6
3 Clopilet A 75 Capsule - 15 Sun Pharmaceutical SIF2708A 11/26 2 109.0 46.28 153.32 30049099 12 18.4 171.72
Industries Ltd
4 Platform Fee - OTH 1 0.00 2.99 998549 12 0.36 3.35
 GST Taxable CGST SGST IGST TOTAL QUANTITY: 6 All disputes related to this For: TATA 1MG
% Amt order are subject to the Healthcare Solutions
GROSS AMOUNT: ₹1313.60 jurisdiction of courts at Private Limited
0 0 0 0 0 Bangalore, Karnataka
SHIPPING & VAS ₹3.35
5 0 0 0 0 CHARGES: Computer Generated
Invoice.
12 918.53 0 0 110.23 DISCOUNT ₹288.19
AMOUNT:
18 0 0 0 0
BILL AMOUNT: ₹1028.76
28 0 0 0 0
ROUND OFF: ₹0.24 For Compliance Purpose
*All Values in (₹)
PAYABLE ₹1029.00
AMOUNT: For Support Contact:
________________
care@1mg.com Bringing care to health
Pharmacist Signature
Amount in Words: Rupees one thousand and twenty-eight point seven six only
E.&.O.E.
Tax Invoice/Bill of Supply/Cash Memo (Original for Recipient)

Sold By Sold To Invoice no.: C020822402807173

TATA 1MG Healthcare Solutions Private Limited Patient Name: Umamaheshwari Date : 2025-03-31
DL Number: 20:KA-BRC-225733,20B:KA-BRC-225735,21:KA-BRC-225734,21B:KA- Address: F2, GK Gardenia, Sai Nagar, 3rd Order ID : PO08825234711178
BRC-225736,20C:KA-BRC-226858,20D:KA-BRC-226859 Street, Sree Sai Nagar, Chennai, IN,
FSSAI License No: 11222303000209 Place of supply: Tamil Nadu
GST: 29AAFCD7691C1ZF CIN: U24290DL2016PTC302634 Contact: 7904540364
Registered Address: 2nd Floor, Plot No. B-225, Okhla Industrial Area, Phase-I, South Doctor name & address: Dr. Shaik Sufiya
Delhi, New Delhi-110020, Delhi Shabnam
Premise Address: Ground Floor, Survey No. 75, Makali Post, Madanayakanahalli, MRC Nagar, Chennai, Chennai, Tamil Nadu
Dasanapura Hobli, Nelamangala, Makali Post, Nelamangala, Bangalore, Karnataka, - 600028, India
562162, India

For Internal Purpose

SR. PRODUCT NAME MFR. Name BATCH NO. EXP. QTY MRP DISC TAXABLE HSN GST RATE GST AMT. TOTAL
DATE AMT. (₹) AMT. (₹) (%) (₹) AMT. (₹)
1 Wysolone 5 Tablet DT - 15 Pfizer Ltd LT9154 09/26 3 11.35 8.05 23.21 30049099 12 2.79 26
2 Platform Fee - OTH 1 0.00 0.07 998549 12 0.01 0.08

GST Taxable CGST SGST IGST TOTAL QUANTITY: 3 All disputes related to this For: TATA 1MG
% Amt order are subject to the Healthcare Solutions
GROSS AMOUNT: ₹34.05 jurisdiction of courts at Private Limited
0 0 0 0 0 Bangalore, Karnataka
SHIPPING & VAS ₹0.08
5 0 0 0 0 CHARGES: Computer Generated
Invoice.
12 23.28 0 0 2.8 DISCOUNT AMOUNT: ₹8.05
18 0 0 0 0 BILL AMOUNT: ₹26.08
28 0 0 0 0 ROUND OFF: ₹-0.08
For Compliance Purpose
*All Values in (₹) PAYABLE AMOUNT: ₹26.00

Amount in Words: Rupees twenty-six point zero eight only For Support Contact:
________________
E.&.O.E. care@1mg.com Bringing care to health
Pharmacist Signature
Tax Invoice/Bill of Supply/Cash Memo (Original for Recipient)

Sold By Sold To Invoice no.: C020822402807174

TATA 1MG Healthcare Solutions Private Limited Patient Name: Umamaheshwari Date : 2025-03-31
DL Number: 20:KA-BRC-225733,20B:KA-BRC-225735,21:KA-BRC-225734,21B:KA- Address: F2, GK Gardenia, Sai Nagar, 3rd Order ID : PO08825234711178
BRC-225736,20C:KA-BRC-226858,20D:KA-BRC-226859 Street, Sree Sai Nagar, Chennai, IN,
FSSAI License No: 11222303000209 Place of supply: Tamil Nadu
GST: 29AAFCD7691C1ZF CIN: U24290DL2016PTC302634 Contact: 7904540364
Registered Address: 2nd Floor, Plot No. B-225, Okhla Industrial Area, Phase-I, South Doctor name & address: Dr. Raj Narayan
Delhi, New Delhi-110020, Delhi Samanta
Premise Address: Ground Floor, Survey No. 75, Makali Post, Madanayakanahalli, Ground Floor, A - Wing, Shastri Park, New
Dasanapura Hobli, Nelamangala, Makali Post, Nelamangala, Bangalore, Karnataka, Delhi, Delhi - 110053, India
562162, India

For Internal Purpose

SR. PRODUCT NAME MFR. Name BATCH NO. EXP. QTY MRP DISC TAXABLE HSN GST RATE GST AMT. TOTAL
DATE AMT. (₹) AMT. (₹) (%) (₹) AMT. (₹)
1 Addphos Granules - 3gm Steadfast Medishield SMSG24028 10/26 5 24.5 25.30 86.79 30049099 12 10.41 97.2
Pvt Ltd
2 Addphos Granules - 3gm Steadfast Medishield SM1G-25003 12/26 15 24.5 75.89 260.37 30049099 12 31.24 291.61
Pvt Ltd
3 Platform Fee - OTH 1 0.00 1.13 998549 12 0.14 1.27

GST Taxable CGST SGST IGST TOTAL QUANTITY: 20 All disputes related to this For: TATA 1MG
% Amt order are subject to the Healthcare Solutions
GROSS AMOUNT: ₹490.00 jurisdiction of courts at Private Limited
0 0 0 0 0 Bangalore, Karnataka
SHIPPING & VAS ₹1.27
5 0 0 0 0 CHARGES: Computer Generated
Invoice.
12 348.29 0 0 41.79 DISCOUNT ₹101.19
AMOUNT:
18 0 0 0 0
BILL AMOUNT: ₹390.08
28 0 0 0 0
ROUND OFF: ₹-0.08 For Compliance Purpose
*All Values in (₹)
PAYABLE AMOUNT: ₹390.00
For Support Contact:
________________
Amount in Words: Rupees three hundred and ninety point zero eight only care@1mg.com Bringing care to health
Pharmacist Signature
E.&.O.E.
Tax Invoice/Bill of Supply/Cash Memo (Original for Recipient)

Sold By Sold To Invoice no.: C020822402807175

TATA 1MG Healthcare Solutions Private Limited Patient Name: Umamaheshwari Date : 2025-03-31
DL Number: 20:KA-BRC-225733,20B:KA-BRC-225735,21:KA-BRC-225734,21B:KA- Address: F2, GK Gardenia, Sai Nagar, 3rd Order ID : PO08825234711178
BRC-225736,20C:KA-BRC-226858,20D:KA-BRC-226859 Street, Sree Sai Nagar, Chennai, IN,
FSSAI License No: 11222303000209 Place of supply: Tamil Nadu
GST: 29AAFCD7691C1ZF CIN: U24290DL2016PTC302634 Contact: 7904540364
Registered Address: 2nd Floor, Plot No. B-225, Okhla Industrial Area, Phase-I, South Doctor name & address: Dr. Amardeep
Delhi, New Delhi-110020, Delhi Arya
Premise Address: Ground Floor, Survey No. 75, Makali Post, Madanayakanahalli, bansi lal arya, bada gali, Sagar, Madhya
Dasanapura Hobli, Nelamangala, Makali Post, Nelamangala, Bangalore, Karnataka, Pradesh - 470002, India
562162, India

For Internal Purpose

SR. PRODUCT NAME MFR. Name BATCH NO. EXP. QTY MRP DISC TAXABLE HSN GST RATE GST AMT. TOTAL
DATE AMT. (₹) AMT. (₹) (%) (₹) AMT. (₹)
1 Istamet 50mg/500mg Tablet - 15 Sun Pharmaceutical SIF2698A 10/26 2 171.0 76.33 237.21 30049099 12 28.47 265.67
Industries Ltd
2 Platform Fee - OTH 1 0.00 0.78 998549 12 0.09 0.87

GST Taxable CGST SGST IGST TOTAL QUANTITY: 2 All disputes related to this For: TATA 1MG
% Amt order are subject to the Healthcare Solutions
GROSS AMOUNT: ₹342.00 jurisdiction of courts at Private Limited
0 0 0 0 0 Bangalore, Karnataka
SHIPPING & VAS ₹0.87
5 0 0 0 0 CHARGES: Computer Generated
Invoice.
12 237.99 0 0 28.56 DISCOUNT ₹76.33
AMOUNT:
18 0 0 0 0
BILL AMOUNT: ₹266.54
28 0 0 0 0
ROUND OFF: ₹0.46 For Compliance Purpose
*All Values in (₹)
PAYABLE AMOUNT: ₹267.00
For Support Contact:
________________
Amount in Words: Rupees two hundred and sixty-six point five four only care@1mg.com Bringing care to health
Pharmacist Signature
E.&.O.E.