Bill of Supply
SH
Shree Medi Store (Composition)
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)
BILL OF SUPPLY
No: S/25-26/001102
Dt: 22-09-2026 10:24 · C-01
Composition taxable person, not eligible to collect tax on supplies
Billed to
Walk-in Patient
Andheri West, Mumbai
Dr: Dr. A. Khan
Rx No: RX-2026-1184
GSTIN: Unregistered
Maharashtra (27) · 400053
Ph: +91-98765-43210
Supply
Maharashtra (27)
Payment: Cash
Composition No: COMP-MH-2025-88412
| Sl | Product | Batch / Exp | HSN | MRP | Qty | Rate | Value |
|---|---|---|---|---|---|---|---|
| 1 | Dolo 650PARACETAMOLMicro Labs | D651204Exp: 08/2027 | 3004 | 550.00 | 2 STRIP | 500.00 | ₹1,000.00 |
| 2 | Insulin GlargineINSULIN GLARGINEBiocon❄ COLD-CHAIN | GL10987Exp: 11/2026 | 3002 | 1,650.00 | 1 VIAL | 1,500.00 | ₹1,500.00 |
| 3 | ORS PowderORSCiplaIncl. 1 free | OR66012Exp: 12/2027 | 3004 | 42.00 | 5 SACHET | 40.00 | ₹200.00 |
- Gross
- ₹2,700.00
- Discount
- ₹0.00
- Bill value
- ₹2,700.00
- Round-off
- ₹0.00
- Grand Total
- ₹2,700.00
In words: Rupees Two Thousand Seven Hundred Only
You saved ₹260.00 vs MRP.
Pay via UPI · shreemedi@upi
upi://pay?pa=shreemedi@upi&am=2700&cu=INR
₹2,700.00
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Notes
- • DPCO 2013 — prices of scheduled formulations do not exceed the NPPA ceiling price.
- • Cold-chain items: keep refrigerated at 2–8 °C — do not freeze.
- • Report suspected adverse drug reactions to PvPI — helpline 1800-180-3023 · pvpi@ipcindia.com.