Shree Medi Store
12, MG Road, Andheri West, Mumbai
Maharashtra — 400053
Ph: +91-98200-12345 · care@shreemedistore.in
GSTIN: 27ABCDE1234F1Z5
DL No. 20B-MH-123456 / 21B-MH-123457
Pharmacist R. Sharma (MH-PCI-48210)
Allopathy Pharmacy Tax Invoice
No: ALP/25-26/004118
Dt: 22-09-2026 11:20 · C-01
Retail drug licence 20B-MH-123456 / 21B-MH-123457 · Pharmacist R. Sharma (MH-PCI-48210)
Billed to
Walk-in Patient
Andheri West, Mumbai
Dr: Dr. A. Khan
Rx No: RX/2026/004512
GSTIN: Unregistered
Maharashtra (27) · 400053
Ph: +91-98765-43210
Place of supply
Maharashtra (27)
Payment: UPI
Reverse charge: No
| Sl | Product | Batch / Exp | HSN | MRP | Qty | GST% | Amount |
|---|---|---|---|---|---|---|---|
| 1 | Dolo 650PARACETAMOLMicro Labs | D651204Exp: 08/2027 | 3004 | 550.00 | 1 STRIP | 12% | ₹548.80 |
| 2 | Azithral 500AZITHROMYCINAlembic | AZ88231Exp: 03/2027 | 3004 | 95.00 | 1 TAB | 12% | ₹94.08 |
| 3 | Volini GelDICLOFENACSun | VG12077Exp: 10/2027 | 3004 | 145.00 | 1 TUBE | 12% | ₹140.00 |
- Gross
- ₹699.00
- Discount
- ₹0.00
- Taxable value
- ₹699.00
- CGST
- ₹41.94
- SGST
- ₹41.94
- Round-off
- ₹0.12
- Grand Total
- ₹783.00
In words: Rupees Seven Hundred Eighty Three Only
Taxable supply — dispensed against prescription no. RX/2026/004512. GST rates as per master (12% standard, 5% specified categories).
Pay via UPI · shreemedistore@upi
upi://pay?pa=shreemedistore@upi&am=783&cu=INR
₹783.00
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Take as directed in prescription RX/2026/004512. Keep away from children; refrigerate cold-chain items.