TAX INVOICE
( Original for Recipient )
PATIENT NAME: Fayanath Rameshwar Barai
PATIENT ADDRESS: Flat No 501 Jay Ambe Soc Kurar Village M,alad East INVOICE NUMBER: 24080S96981
DOCTOR NAME: CHINTAN HEGDE DATE : 2024-12-20 | TIME : 17:07:28 PAY HERE
DESCRIPTION OF GOODS LOOSE BATCH NO. DISC GST
QTY MRP AMT
HSN / SAC CODE QTY EXPIRY DATE % %
GUFINOX 60MG PFS INJ 0.6ML AB240359B
1 0 705.41 10% 5% 634.86
431443 2026-07-07
Wellness Forever Medicare Limited
CGST ₹15.11 GROSS AMOUNT ₹705.41
SHOP NO.11 12, NIRMAN DIAGNOSTIC
SGST ₹15.11 DISCOUNT ₹70.55
CENTREGORASWADI ROAD, OFF S.V
IGST ₹0.00 DELIVERY CHARGES ₹00.00
ROAD,MALAD-W
CESS AMOUNT ₹0.00 NET PAYABLE ₹634.86
CONTACT NO.: 022-28090125
TOTAL TAX AMOUNT ₹30.22 SIX HUNDRED THIRTY FOUR RUPEES AND EIGHTY SIX PAISE ONLY
TAXABLE AMOUNT ₹604.64
THANK YOU FOR SHOPPING WITH US!
DL NO.: 20 MH-MZ6 171210 WELLNESS FOREVER MEDICARE LIMITED
Regd. Off: 7th foor, Wing A, Empire Plaza, IT Park, LBS
GSTIN.: 27AAACW7565P1ZH
Marg, Vikhroli West, Mumbai - 400083
CIN NO.: U24239MH2008PTC178658 webstore.wellnessforever.in Authorized Signature
This is computer generated invoice does not require signature
STATE: MAHARASHTRA (27)