25/06/2019 Untitled Page

SUDHA PHARMACY, (UNIT OF SUDHA HOSPITAL)

162, PERUNDURAI ROAD, ERODE-638011
Phone: 8754011454 Ph: 9500913737

Sales Bill         
DL No. : CBP/6575/20, 21 GSTIN No. : 33ABSFS3370CIZ6
Name : Mr. Vaithy T Contact No. : 9750368505
Age/Sex : 80 YRS / Male Date : 25-Jun-2019 07:19 AM
MR No. : SH/19/100787 Receipt No. : PR/19-20/0030741
Address : 2/26, Thangayur Village, Kozhipannai Edappadi Doctor : Dr. CRITICAL CARE GROUP ()
IPD No. : 35397
Taxable
#  Description      BatchNo. Exp. dt QTY. MRP. Disc. GST% Amount
Amt.
1. SYRINGE 10ML (90183100) 19b23k46 31-Jan-24 3 12.00 0.00 32.14 12.00 36.00
2. SYRINGE 2ML (90183100) 19a18k76 29-Feb-24 3 6.00 0.00 16.07 12.00 18.00
3. FOLEY BALLOON NO 14 p18l09 30-Nov-23 1 114.00 0.00 101.79 12.00 114.00
(30051090)
4. UROMETER (90183910) g12059 31-Mar-23 1 430.00 0.00 409.52 5.00 430.00
5. GLOVES 6.5 (40151100) 18K2007 31-Oct-23 1 65.00 0.00 58.04 12.00 65.00
6. NEBULISER MASK (ADULT) 180407 30-Nov-23 1 300.00 0.00 267.86 12.00 300.00
(90192090)
7. EMESET 4MG (300420) kg80342 31-Jul-21 3 4.93 0.00 13.21 12.00 14.79
8. AUGMENTIN 1.2G VIAL NT1293 31-May-20 3 132.00 0.00 353.57 12.00 396.00
(30041090)
9. PANDIFF IV 40MG (30049039) aqe0010 30-Jun-20 3 46.78 0.00 125.30 12.00 140.34
Total Amount Inclusive of All Taxes. Total : 1514.13
Round Off : -0.13
Amount Paid : 1514.00

S.No. Tax% Taxable Amt CGST % CGST TAX SGST % SGST TAX TOTAL TAX
1 5% 409.52 2.50 10.2381 2.50 10.2381 20.48
2 12% 967.98 6.00 58.0783 6.00 58.0783 116.16
3 TOTAL 1377.50 68.3164 68.3164 136.63
1514.00INR Cash

Received with thanks an amount of One Thousand Five Hundred and Fourteen Only
Prepared By :P JEEVA
Printed By : Miss. P JEEVA                          Qualified Pharmacist :.......................................

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