ASG HOSPITAL PVT. LTD.

Contact No : 033-24240023
Acorn Heights, 70/2, Deshpran Shashmal Road, 9251609237
Regd. Office :
Tollygunge Phari ,Ward No. - 89 Toll Free : 18001200111
ASG HOSPITAL PVT. LTD.
Kolkata,West Bengal,India,700033
Plot No. 1 , Shyam Nagar,
[email protected]
Pal Link Road, GSTIN : 19AAHCA2937J1ZF
www.asgeyehospital.com
Jodhpur,Rajasthan,India,342001 CIN : U85110RJ2007PTC025459

DL No : A-22734 Tax Invoice [ Pharmacy ] Currency :

MRD : KKTG10298 Bill Date : 11-06-2023

Patient Name : Mr. Haradhan Mukherjee Bill No : KKTG/24/P/1828
Address : B P TOWN SHIP H-31/D KOL-94,Kolkata,West Bengal,IndiaPlace of Supply : Kolkata
Patient GST No : Mobile No : 9123757657
Age / Gender: 71Y1M / Male Payer Type : Cash
Consultant : Dr Arnab Sadhukhan (50955 ) Payer :

Product HSN BatchNo (Expiry) Unit UOM Unit Rate Discount Taxable Value GST GST Amount Total
Rate (%)

RETIHERB NEO 210690 NYAA02(11-2024) 30 PCS 25.00 0.00 750.00 18 135.00 885.00
99
BIGUARD 300490 PSLAE09(1-2025) 2 PCS 4.46 0.00 8.92 12 1.08 9.99
69
TRUPRED EYE DROP 300490 CSLAJ13(12-2024) 1 PCS 55.36 0.00 55.36 12 6.64 62.00
99
ILEVRO 3MG 300420 VK951D(4-2024) 1 NOS 411.61 0.00 411.61 12 49.40 461.00
19
ULTRASOOTHE EYE 300490 CSLAH12(10-2024) 1 PCS 352.68 0.00 352.68 12 42.32 395.00
DROP 99

BACTIWIPE 901890 DWW-220701(6-2025) 5 PCS 26.79 0.00 133.95 12 16.08 150.02

99

Total 0.00 250.52 1,963.01

RoundOff -0.01
Date RecNo Payment Mode Amount
Credit Card/Debit Adjustment 0.00
11-Jun-23 REC/24/KKTG/4784 1,568.00
Card Gross Amount 1,963.00
Paid 1,568.00
HSN Tax Rate Taxable Value SGST CGST IGST Total Due from Patient 395.00
2106909 Due from TPA
9
GST - (18%) 750.00 67.50 67.50 0.00 135.00 0.00
3004906
GST - (12%) 8.92 0.54 0.54 0.00 1.08
9
3004909
GST - (12%) 408.04 24.48 24.48 0.00 48.96
9
3004201
GST - (12%) 411.61 24.70 24.70 0.00 49.40
9
9018909
GST - (12%) 133.95 8.04 8.04 0.00 16.08
9
Total 1,712.52 125.26 125.26 0.00 250.52

Amount (in words) : One Thousand Nine Hundred Sixty Three Only SAYANI BHAUMIK 11-06-2023 12:18:39

Note- We do not accept any sales return due to COVID-19. Inconvenience caused is deeply regretted.