TAX INVOICE
( Original for Recipient )
PATIENT NAME: NILESH TERSE
PATIENT ADDRESS: MARGAON-403602 INVOICE NUMBER: 25252S28104
DATE : 2025-08-04 | TIME :
DOCTOR NAME: MOLIO 21:33:31.000 PAY HERE
DESCRIPTION OF GOODS LOOSE BATCH NO. DISC GST
QTY MRP AMT
HSN / SAC CODE QTY EXPIRY DATE % %
NASOMIST SALINE N/SPRAY 20ML UJ2514
1 0 65.00 0% 12% 65.00
299229 2028-02-01
MACBERY-DX SYP 100ML 18250147A
1 0 115.75 0% 12% 115.75
339678 2026-12-01
NUTROLIN-B PLUS 15CAP G2CW224054
1 0 67.20 0% 12% 67.20
299835 2026-04-01
Wellness Forever Medicare Limited
CGST ₹13.28 GROSS AMOUNT ₹247.95
E/SH-01 & E/SH-02, GROUND FLOOR, ALEESHA
SGST ₹13.28 DISCOUNT ₹0.00
RESIDENCY, ST.JOQUIM ROAD,BORDA,
IGST ₹0.00 DELIVERY CHARGES ₹00.00
MARGAON, GOA.
CESS AMOUNT ₹0.00 NET PAYABLE ₹247.95
CONTACT NO.:
TOTAL TAX AMOUNT ₹26.56 TWO HUNDRED FORTY SEVEN RUPEES AND NINETY FIVE PAISE ONLY
TAXABLE AMOUNT ₹221.39
THANK YOU FOR SHOPPING WITH US!
DL NO.: 20-GA-SGO-8323 WELLNESS FOREVER MEDICARE LIMITED
Regd. Off: 7th foor, Wing A, Empire Plaza, IT Park, LBS
GSTIN.: 30AAACW7565P1ZU
Marg, Vikhroli West, Mumbai - 400083
CIN NO.: U24239MH2008PTC178658 webstore.wellnessforever.in Authorized Signature
This is computer generated invoice does not require signature
STATE: GOA (30)