ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
MAPLE PHARMACY & RETAIL SHOP Patient Name : Deepak Gupta
SHOP NO.XXXX,SAMPLE RESIDENCY,PLOT NO.GH-07B,
SEC-TECHZONE-2 GAUTAM BUDDHA VIHAR(U.P) Patient Address :
Patient Mob. : 7065521393
Phone : 790636XXXX,965022XXXX Dr. Name :
E-Mail : samplepharmacy@gmail.com
2
GSTIN : 09CEEPXXXXXXXZA
D.L.No. : UP1620000XXXX/UP1621000XXXX		GST INVOICEInvoice No.: A002515 Date: 08-01-2024
TIME : 19:59
3
SNPRODUCT NAMEPACKBATCHHSNEXP.QTYMRPSGSTCGST
4
1.D-Cold-20 TAB1SB1101110.000.000.00110.00
5
GST 110*0%=0SGST, ** GET WELL SOON **SUB TOTAL 110.00
DISCOUNT 0.00
 PAYTM QR CODE   
6
Terms & Conditions   
Goods once sold will not be taken back or exchanged. Bills not paid due date will attract 24% interest.
All disputes subject to Jurisdication only. For MAPLE PHARMACY & RETAIL SHOP Prescribed Sales Tax declaration will be given.
Remark :Please share screen shot after payment & same day payment
Authorised Signatory
Rs. One Hundred Ten Only
7
GRAND TOTAL 110.00
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100