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Tax Invoice Netmeds CS Number: 72007-12345 / Email: [email protected] RELIANCE RETAIL LIMITED [HOWRAH FC] Original for Recipient Duplicate for Transporter PPD-2,MOUZA-SANDHIPUR,J.L NO.04,R.S.DAG Triplicate for Supplier NO.801,802,806,807,808,809,817&819(ALL PART), GSTIN : 19AABCR1718E1ZM POLICE STATION-SANKRAIL PAN : AABCR1718E Drug Licence No : WB/HWH/NBO/R/592659-20 & WB/HWH/BIO/R/592659-21 HOWRAH - 711302 STATE CODE: 19, WB FSSAI : 12821008000290 Invoice No: CSSF11250661775 Order No : 17728886522771109064 Invoice Date : 07-03-2026 Delivery Man : - Doctor Name : Not Applicable Patient Name : Mr/Mrs ChintuBaishya Doctor Address : Not Applicable Billing Address : Chintu Baishya Shipping Address : Chintu Baishya C/o Pramod Pathak Polofield cricket groundNear to polofield Near to C/o Pramod Pathak Polofield cricket groundNear to polofield Near to polofield TEZPUR Assam 784001 India polofield TEZPUR Assam 784001 India, TEZPUR, Assam - 784001, India. TEZPUR, Assam - 784001, India. Place of supply (State Name) : Assam Whether tax is payable on reverse charge basis : N Disc Taxable IGST Total Amt S.No. Mfr Description Of Goods HSN/SAC MRP Batch No Expiry Qty Rate Total Amt Amt Rate Amt (incl. tax) 1 Pfizer Becosules Capsule 20'S 30045039 62.37 2523019N 02/27 2 59.40 118.80 19.01 99.79 5 4.99 104.78 American's Homoeo Cough 2 The Ame 30049014 52.00 10 04/30 1 49.52 49.52 9.90 39.62 5 1.98 41.60 Syrup 110 ml 0% 5% 12% 18% 28% Total IGST - 6.97 - - - 6.97 Total Item : 2 Total Qty : 3 Sub