TAX INVOICE Original/Dupliacte/Triplicate

ALFA MEDICAL AGENCIES Invoice No : C21012201937

CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD. Invoice Date : 31-Dec-2022

SHOP NO.192 & 193, GR & FIRST FLOOR,, AUSHADHI VATIKA,, RAIPUR - 492015. Phone:9425213418 Mobile :9425213418 , DUMARTARAI,,
DHAMTARI ROAD, PAN:ADWPM2807L,FSSAI : 20521079001853 DrugLicNo.: 20B-22527, DrugLicNo:21B-22528 GSTNo.:22ADWPM2807L1Z7
State:CHATTISGARH
Details of Receiver(Billed to) DL NO : 20B-CGBZ-214451 Details of Consignee(Shipped to) Mode of Transport :
Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] DL NO : 21B-CGBZ-214452 Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] Date&Time of supply : 05-Jan-2023
Addres : MEDICAL COMPLEX TELIPARA PAN NO. : ABIPH3507N . Address : MEDICAL COMPLEX TELIPARA Place of supply & State : CHATTISGARH , BILASPUR
N/A ,N/A Place of Delivery : CHATTISGARH , BILASPUR
BILASPUR - 495001 BILASPUR - 495001Mo. 9827199003 , 0
State : CG Transporter Name : BASTAR EXPRESS
Mo. 9827199003 , 0
GSTIN/Unique ID : 22ABIPH3507N1ZR State : CG LR No : 90721 L.R.Date : 05-Jan-2023
GSTIN/Unique ID : 22ABIPH3507N1ZR No of Cases : 2

Sr.# Material HSN NO. Batch ExpDt. Qty UOM MRP PTS Disc% Rate Taxable Amt. Tax% SGST CGST IGST TotalAmt

ACTIMA ( O308002026 )

IBN HERBALS,BADDI
1 INTAGESIC-MR 10 TAB (100 STRIP) 30049069 IPL22800 5-24 2400 NOS. 103.00 15.00 0.00 15.00 36,000.00 12.00 2,160.00 2,160.00 0.00 40,320.00
(COMBO)
INTAS PHARMACEUTICALS LIMITED
2 BOOKLET (CHEMIST BOOK) 49119990 9999 3-49 24 NOS. 13.84 13.84 0.00 13.84 0.00 0.00 0.00 0.00 0.00 Discount/Free

3 GUDNEWZ KIT (INTAGESIC-MR COMBO) 38220011 9999 3-49 24 NOS. 3.90 3.90 0.00 3.90 0.00 0.00 0.00 0.00 0.00 Discount/Free

4 INSERT FOR INTAGESIC- MR TABLET 48209090 9999 3-49 24 NOS. 0.75 0.75 0.00 0.75 0.00 0.00 0.00 0.00 0.00 Discount/Free

we hereby declare that the above parcel is contained

gifts items without consideration, to the customer and
ITC on such gifts articles are reversed/not claimed, as
per Section 17(5)(h) of CGST Act 2017

Printed Date : 07-Jan-2023 Page 1 of 2

 TAX INVOICE Original/Dupliacte/Triplicate
ALFA MEDICAL AGENCIES Invoice No : C21012201937
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD. Invoice Date : 31-Dec-2022

SHOP NO.192 & 193, GR & FIRST FLOOR,, AUSHADHI VATIKA,, RAIPUR - 492015. Phone:9425213418 Mobile :9425213418 , DUMARTARAI,,
DHAMTARI ROAD, PAN:ADWPM2807L,FSSAI : 20521079001853 DrugLicNo.: 20B-22527, DrugLicNo:21B-22528 GSTNo.:22ADWPM2807L1Z7
State:CHATTISGARH
Details of Receiver(Billed to) DL NO : 20B-CGBZ-214451 Details of Consignee(Shipped to) Mode of Transport :
Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] DL NO : 21B-CGBZ-214452 Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] Date&Time of supply : 05-Jan-2023
Addres : MEDICAL COMPLEX TELIPARA PAN NO. : ABIPH3507N . Address : MEDICAL COMPLEX TELIPARA Place of supply & State : CHATTISGARH , BILASPUR
N/A ,N/A Place of Delivery : CHATTISGARH , BILASPUR
BILASPUR - 495001 BILASPUR - 495001Mo. 9827199003 , 0
State : CG Transporter Name : BASTAR EXPRESS
Mo. 9827199003 , 0
GSTIN/Unique ID : 22ABIPH3507N1ZR State : CG LR No : 90721 L.R.Date : 05-Jan-2023
GSTIN/Unique ID : 22ABIPH3507N1ZR No of Cases : 2

Sr.# Material HSN NO. Batch ExpDt. Qty UOM MRP PTS Disc% Rate Taxable Amt. Tax% SGST CGST IGST TotalAmt

Cheque : 0 Due : 10-Feb-2023 Remarks : Total: 36,000.00

General warranty : U/S. 19/30 of Drug and Cosmetics Act 1940. We do hereby give the Warranty that the goods described as above & supplied by us do not contravence in any way of provision of section 18 of the said Act. Tax Amount 4,320.00
NOTE: PRODUCTS MENTIONED IN THIS INVOICE SHOULD NOT BE SOLD ABOVE THE MRP PRINTED IN THIS INVOICE IRRESPECTIVE OF THE MRP MENTIONED ON THE PRODUCT.
* ALSO COUMMUNICATE THE SAME TO RETAILERS.
*** Since this sale invoice is raised by ALFA MEDICAL AGENCIES on behalf of Intas Pharmaceutical Ltd, the TDS u/s 194Q, (if applicable) on this invoice has to be on Invoice Total 40,320.00
account of Intas Pharmaceutical Ltd under their PAN No : AAACI5120L
Accordingly necessary TDS certificate shall be issued in the name of Intas Pharmaceuticals Ltd with PAN No: AAACI5120L.

TERMS & CONDITIONS Cr.Adj Amt 0.00

1. If payment is not received withing the stipulated time, then interest will be charged @18% p.a. till the date of
payment. Dr.Adj Amt 0.00
2. Payment to be made by crossed Cheque / Demand Draft only in the name of IPL-CSA ALFA MEDICAL AGENCIES Tax Taxable CGST SGST/UGST IGST/CESS Rounding off(+/-) 0.00
3. Payment by cheque is subject to realization.
% Amt Amt Amt Amt
4. No Payment should be made in cash unless the person receiving payment has the authority to receive the amount and to issue the receipt Net Amount 40,320.00
under the company seal. 12.00 36,000.00 2,160.00 2,160.00
5. Company does not assume any responsibility once the consignment leaves our premises. Invoice Total (In Words) :
6. All transactions are subject to Ahmedabad. RUPEES FORTY THOUSAND THREE HUNDRED
TWENTY ONLY
Products falling under Price Control are supplied as per revised pricing to comply with SO Dated 19-12-2022. Ensure that all future supplies/Sales should be made strictly in
compliance with DPCO/NPPA guidelines only. For details , please refer the circular sent form Head office.
For, ALFA MEDICAL AGENCIES
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD.
For making RTGS/NEFT,HDFC Bank Account No. is 57500000920405 ,IFSC Code-HDFC0000006,Type of Account: Current
Your Ch. No. (0), against this invoice will be Deposited In the Bank On: (10-Feb-2023)
E. & O.E. SUBJECT TO AHMEDABAD JURISDICTION IRN No : Authorised Signatory

Printed Date : 07-Jan-2023 Page 2 of 2

 TAX INVOICE Original/Dupliacte/Triplicate
ALFA MEDICAL AGENCIES Invoice No : C21012201938
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD. Invoice Date : 31-Dec-2022

SHOP NO.192 & 193, GR & FIRST FLOOR,, AUSHADHI VATIKA,, RAIPUR - 492015. Phone:9425213418 Mobile :9425213418 , DUMARTARAI,,
DHAMTARI ROAD, PAN:ADWPM2807L,FSSAI : 20521079001853 DrugLicNo.: 20B-22527, DrugLicNo:21B-22528 GSTNo.:22ADWPM2807L1Z7
State:CHATTISGARH
Details of Receiver(Billed to) DL NO : 20B-CGBZ-214451 Details of Consignee(Shipped to) Mode of Transport :
Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] DL NO : 21B-CGBZ-214452 Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] Date&Time of supply : 05-Jan-2023
Addres : MEDICAL COMPLEX TELIPARA PAN NO. : ABIPH3507N . Address : MEDICAL COMPLEX TELIPARA Place of supply & State : CHATTISGARH , BILASPUR
N/A ,N/A Place of Delivery : CHATTISGARH , BILASPUR
BILASPUR - 495001 BILASPUR - 495001Mo. 9827199003 , 0
State : CG Transporter Name : BASTAR EXPRESS
Mo. 9827199003 , 0
GSTIN/Unique ID : 22ABIPH3507N1ZR State : CG LR No : 90725 L.R.Date : 05-Jan-2023
GSTIN/Unique ID : 22ABIPH3507N1ZR No of Cases : 10

Sr.# Material HSN NO. Batch ExpDt. Qty UOM MRP PTS Disc% Rate Taxable Amt. Tax% SGST CGST IGST TotalAmt

ACTIMA ( O308002027 )

QUIXOTIC HEALTHCARE,Distt SOLAN,

1 KUFFDRYL 100ML 30044090 INS-22L025 11-24 1176 NOS. 106.00 9.35 0.00 9.35 10,995.60 12.00 659.74 659.74 0.00 12,315.08

2 KUFFDRYL 100ML 30044090 INS-22L025 11-24 24 NOS. 106.00 9.35 0.00 9.35 0.00 0.00 0.00 0.00 0.00 Discount/Free

Cheque : Due : 10-Feb-2023 Remarks : Total: 10,995.60

General warranty : U/S. 19/30 of Drug and Cosmetics Act 1940. We do hereby give the Warranty that the goods described as above & supplied by us do not contravence in any way of provision of section 18 of the said Act. Tax Amount 1,319.48
NOTE: PRODUCTS MENTIONED IN THIS INVOICE SHOULD NOT BE SOLD ABOVE THE MRP PRINTED IN THIS INVOICE IRRESPECTIVE OF THE MRP MENTIONED ON THE PRODUCT.
* ALSO COUMMUNICATE THE SAME TO RETAILERS.
*** Since this sale invoice is raised by ALFA MEDICAL AGENCIES on behalf of Intas Pharmaceutical Ltd, the TDS u/s 194Q, (if applicable) on this invoice has to be on Invoice Total 12,315.00
account of Intas Pharmaceutical Ltd under their PAN No : AAACI5120L
Accordingly necessary TDS certificate shall be issued in the name of Intas Pharmaceuticals Ltd with PAN No: AAACI5120L.

TERMS & CONDITIONS Cr.Adj Amt 0.00

1. If payment is not received withing the stipulated time, then interest will be charged @18% p.a. till the date of
payment. Dr.Adj Amt 0.00
2. Payment to be made by crossed Cheque / Demand Draft only in the name of IPL-CSA ALFA MEDICAL AGENCIES Tax Taxable CGST SGST/UGST IGST/CESS Rounding off(+/-) -0.08
3. Payment by cheque is subject to realization.
% Amt Amt Amt Amt
4. No Payment should be made in cash unless the person receiving payment has the authority to receive the amount and to issue the receipt Net Amount 12,315.00
under the company seal. 12.00 10,995.60 659.74 659.74
5. Company does not assume any responsibility once the consignment leaves our premises. Invoice Total (In Words) :
6. All transactions are subject to Ahmedabad. RUPEES TWELVE THOUSAND THREE HUNDRED
FIFTEEN ONLY
Products falling under Price Control are supplied as per revised pricing to comply with SO Dated 19-12-2022. Ensure that all future supplies/Sales should be made strictly in
compliance with DPCO/NPPA guidelines only. For details , please refer the circular sent form Head office.
For, ALFA MEDICAL AGENCIES
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD.
For making RTGS/NEFT,HDFC Bank Account No. is 57500000920405 ,IFSC Code-HDFC0000006,Type of Account: Current
Please give Cheque against Delivery which will be Deposited On 45 days from the date of Delivery
E. & O.E. SUBJECT TO AHMEDABAD JURISDICTION IRN No : Authorised Signatory

Printed Date : 07-Jan-2023 Page 1 of 1

 TAX INVOICE Original/Dupliacte/Triplicate
ALFA MEDICAL AGENCIES Invoice No : C21012201939
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD. Invoice Date : 31-Dec-2022

SHOP NO.192 & 193, GR & FIRST FLOOR,, AUSHADHI VATIKA,, RAIPUR - 492015. Phone:9425213418 Mobile :9425213418 , DUMARTARAI,,
DHAMTARI ROAD, PAN:ADWPM2807L,FSSAI : 20521079001853 DrugLicNo.: 20B-22527, DrugLicNo:21B-22528 GSTNo.:22ADWPM2807L1Z7
State:CHATTISGARH
Details of Receiver(Billed to) DL NO : 20B-CGBZ-214451 Details of Consignee(Shipped to) Mode of Transport :
Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] DL NO : 21B-CGBZ-214452 Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] Date&Time of supply : 05-Jan-2023
Addres : MEDICAL COMPLEX TELIPARA PAN NO. : ABIPH3507N . Address : MEDICAL COMPLEX TELIPARA Place of supply & State : CHATTISGARH , BILASPUR
N/A ,N/A Place of Delivery : CHATTISGARH , BILASPUR
BILASPUR - 495001 BILASPUR - 495001Mo. 9827199003 , 0
State : CG Transporter Name : BASTAR EXPRESS
Mo. 9827199003 , 0
GSTIN/Unique ID : 22ABIPH3507N1ZR State : CG LR No : 90726 L.R.Date : 05-Jan-2023
GSTIN/Unique ID : 22ABIPH3507N1ZR No of Cases : 6

Sr.# Material HSN NO. Batch ExpDt. Qty UOM MRP PTS Disc% Rate Taxable Amt. Tax% SGST CGST IGST TotalAmt

ACTIMA ( O308002028 )

HEMA LABORATORIES PVT LTD,Uttarakhand

1 CEFTAS-100 DS 30 ML 30042019 IHC2231 10-24 232 NOS. 80.17 32.00 0.00 32.00 7,424.00 12.00 445.44 445.44 0.00 8,314.88

2 CEFTAS-100 DS 30 ML 30042019 IHC2231 10-24 8 NOS. 80.17 32.00 0.00 32.00 0.00 0.00 0.00 0.00 0.00 Discount/Free
SKYMAP HEALTHCARE PRIVATE LIMITED,ROORKEE
3 INTAGESIC 1 ML 30049069 A22AM159 4-24 500 NOS. 24.50 3.10 0.00 3.10 1,550.00 12.00 93.00 93.00 0.00 1,736.00

4 INTAGESIC 1 ML 30049069 A22AM274 8-24 140 NOS. 24.50 3.10 0.00 3.10 434.00 12.00 26.04 26.04 0.00 486.08

5 INTAGESIC 1 ML 30049069 A22AM284 8-24 2000 NOS. 24.50 3.10 0.00 3.10 6,200.00 12.00 372.00 372.00 0.00 6,944.00

6 INTAGESIC 1 ML 30049069 A22AM302 9-24 1360 NOS. 24.50 3.10 0.00 3.10 4,216.00 12.00 252.96 252.96 0.00 4,721.92
ZEISS PHARMA LTD,JAMMU
7 CEFTAS-50 DS 30 ML 30042019 DADO2006A 2-24 388 NOS. 47.70 18.00 0.00 18.00 6,984.00 12.00 419.04 419.04 0.00 7,822.08

8 CEFTAS-50 DS 30 ML 30042019 DADO2006A 2-24 12 NOS. 47.70 18.00 0.00 18.00 0.00 0.00 0.00 0.00 0.00 Discount/Free

Cheque : Due : 10-Feb-2023 Remarks : Total: 26,808.00

General warranty : U/S. 19/30 of Drug and Cosmetics Act 1940. We do hereby give the Warranty that the goods described as above & supplied by us do not contravence in any way of provision of section 18 of the said Act. Tax Amount 3,216.96
NOTE: PRODUCTS MENTIONED IN THIS INVOICE SHOULD NOT BE SOLD ABOVE THE MRP PRINTED IN THIS INVOICE IRRESPECTIVE OF THE MRP MENTIONED ON THE PRODUCT.
* ALSO COUMMUNICATE THE SAME TO RETAILERS.
*** Since this sale invoice is raised by ALFA MEDICAL AGENCIES on behalf of Intas Pharmaceutical Ltd, the TDS u/s 194Q, (if applicable) on this invoice has to be on Invoice Total 30,025.00
account of Intas Pharmaceutical Ltd under their PAN No : AAACI5120L
Accordingly necessary TDS certificate shall be issued in the name of Intas Pharmaceuticals Ltd with PAN No: AAACI5120L.

TERMS & CONDITIONS Cr.Adj Amt 0.00

1. If payment is not received withing the stipulated time, then interest will be charged @18% p.a. till the date of
payment. Dr.Adj Amt 0.00
2. Payment to be made by crossed Cheque / Demand Draft only in the name of IPL-CSA ALFA MEDICAL AGENCIES Tax Taxable CGST SGST/UGST IGST/CESS Rounding off(+/-) 0.04
3. Payment by cheque is subject to realization.
% Amt Amt Amt Amt
4. No Payment should be made in cash unless the person receiving payment has the authority to receive the amount and to issue the receipt Net Amount 30,025.00
under the company seal. 12.00 26,808.00 1,608.48 1,608.48
5. Company does not assume any responsibility once the consignment leaves our premises. Invoice Total (In Words) :
6. All transactions are subject to Ahmedabad. RUPEES THIRTY THOUSAND TWENTY-FIVE ONLY

Products falling under Price Control are supplied as per revised pricing to comply with SO Dated 19-12-2022. Ensure that all future supplies/Sales should be made strictly in
compliance with DPCO/NPPA guidelines only. For details , please refer the circular sent form Head office.
For, ALFA MEDICAL AGENCIES
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD.
For making RTGS/NEFT,HDFC Bank Account No. is 57500000920405 ,IFSC Code-HDFC0000006,Type of Account: Current
Please give Cheque against Delivery which will be Deposited On 45 days from the date of Delivery
E. & O.E. SUBJECT TO AHMEDABAD JURISDICTION IRN No : Authorised Signatory

Printed Date : 07-Jan-2023 Page 1 of 1

 TAX INVOICE Original/Dupliacte/Triplicate
ALFA MEDICAL AGENCIES Invoice No : C21012201943
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD. Invoice Date : 31-Dec-2022

SHOP NO.192 & 193, GR & FIRST FLOOR,, AUSHADHI VATIKA,, RAIPUR - 492015. Phone:9425213418 Mobile :9425213418 , DUMARTARAI,,
DHAMTARI ROAD, PAN:ADWPM2807L,FSSAI : 20521079001853 DrugLicNo.: 20B-22527, DrugLicNo:21B-22528 GSTNo.:22ADWPM2807L1Z7
State:CHATTISGARH
Details of Receiver(Billed to) DL NO : 20B-CGBZ-214451 Details of Consignee(Shipped to) Mode of Transport :
Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] DL NO : 21B-CGBZ-214452 Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] Date&Time of supply : 06-Jan-2023
Addres : MEDICAL COMPLEX TELIPARA PAN NO. : ABIPH3507N . Address : MEDICAL COMPLEX TELIPARA Place of supply & State : CHATTISGARH , BILASPUR
N/A ,N/A Place of Delivery : CHATTISGARH , BILASPUR
BILASPUR - 495001 BILASPUR - 495001Mo. 9827199003 , 0
State : CG Transporter Name : BASTAR EXPRESS
Mo. 9827199003 , 0
GSTIN/Unique ID : 22ABIPH3507N1ZR State : CG LR No : 90738 L.R.Date : 06-Jan-2023
HO Order No : 321D16222700065 GSTIN/Unique ID : 22ABIPH3507N1ZR No of Cases : 160

Sr.# Material HSN NO. Batch ExpDt. Qty UOM MRP PTS Disc% Rate Taxable Amt. Tax% SGST CGST IGST TotalAmt

ACTIMA ( O308002034 )

VIDIT HEALTHCARE,Sirmour
1 NIMUCET AF 60ML 30049061 VHL2209047 8-24 32000 NOS. 63.00 10.75 0.00 10.75 344,000.00 12.00 20,640.00 20,640.00 0.00 385,280.00

Cheque : Due : 10-Feb-2023 Remarks : Total: 344,000.00

General warranty : U/S. 19/30 of Drug and Cosmetics Act 1940. We do hereby give the Warranty that the goods described as above & supplied by us do not contravence in any way of provision of section 18 of the said Act. Tax Amount 41,280.00
NOTE: PRODUCTS MENTIONED IN THIS INVOICE SHOULD NOT BE SOLD ABOVE THE MRP PRINTED IN THIS INVOICE IRRESPECTIVE OF THE MRP MENTIONED ON THE PRODUCT.
* ALSO COUMMUNICATE THE SAME TO RETAILERS.
*** Since this sale invoice is raised by ALFA MEDICAL AGENCIES on behalf of Intas Pharmaceutical Ltd, the TDS u/s 194Q, (if applicable) on this invoice has to be on Invoice Total 385,280.00
account of Intas Pharmaceutical Ltd under their PAN No : AAACI5120L
Accordingly necessary TDS certificate shall be issued in the name of Intas Pharmaceuticals Ltd with PAN No: AAACI5120L.

TERMS & CONDITIONS Cr.Adj Amt 0.00

1. If payment is not received withing the stipulated time, then interest will be charged @18% p.a. till the date of
payment. Dr.Adj Amt 0.00
2. Payment to be made by crossed Cheque / Demand Draft only in the name of IPL-CSA ALFA MEDICAL AGENCIES Tax Taxable CGST SGST/UGST IGST/CESS Rounding off(+/-) 0.00
3. Payment by cheque is subject to realization.
% Amt Amt Amt Amt
4. No Payment should be made in cash unless the person receiving payment has the authority to receive the amount and to issue the receipt Net Amount 385,280.00
under the company seal. 12.00 344,000.00 20,640.00 20,640.00
5. Company does not assume any responsibility once the consignment leaves our premises. Invoice Total (In Words) :
6. All transactions are subject to Ahmedabad. RUPEES THREE LAKHS EIGHTY-FIVE THOUSAND
TWO HUNDRED EIGHTY ONLY
Products falling under Price Control are supplied as per revised pricing to comply with SO Dated 19-12-2022. Ensure that all future supplies/Sales should be made strictly in
compliance with DPCO/NPPA guidelines only. For details , please refer the circular sent form Head office.
For, ALFA MEDICAL AGENCIES
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD.
For making RTGS/NEFT,HDFC Bank Account No. is 57500000920405 ,IFSC Code-HDFC0000006,Type of Account: Current
Please give Cheque against Delivery which will be Deposited On 45 days from the date of Delivery
E. & O.E. SUBJECT TO AHMEDABAD JURISDICTION IRN No : Authorised Signatory

Printed Date : 07-Jan-2023 Page 1 of 1

 TAX INVOICE Original/Dupliacte/Triplicate
ALFA MEDICAL AGENCIES Invoice No : C21012201952
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD. Invoice Date : 31-Dec-2022

SHOP NO.192 & 193, GR & FIRST FLOOR,, AUSHADHI VATIKA,, RAIPUR - 492015. Phone:9425213418 Mobile :9425213418 , DUMARTARAI,,
DHAMTARI ROAD, PAN:ADWPM2807L,FSSAI : 20521079001853 DrugLicNo.: 20B-22527, DrugLicNo:21B-22528 GSTNo.:22ADWPM2807L1Z7
State:CHATTISGARH
Details of Receiver(Billed to) DL NO : 20B-CGBZ-214451 Details of Consignee(Shipped to) Mode of Transport :
Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] DL NO : 21B-CGBZ-214452 Name : HARIRAMANI DISTRIBUTORS [ 9002154 ] Date&Time of supply : 05-Jan-2023
Addres : MEDICAL COMPLEX TELIPARA PAN NO. : ABIPH3507N . Address : MEDICAL COMPLEX TELIPARA Place of supply & State : CHATTISGARH , BILASPUR
N/A ,N/A Place of Delivery : CHATTISGARH , BILASPUR
BILASPUR - 495001 BILASPUR - 495001Mo. 9827199003 , 0
State : CG Transporter Name : BASTAR EXPRESS
Mo. 9827199003 , 0
GSTIN/Unique ID : 22ABIPH3507N1ZR State : CG LR No : 90736 L.R.Date : 05-Jan-2023
GSTIN/Unique ID : 22ABIPH3507N1ZR No of Cases : 8

Sr.# Material HSN NO. Batch ExpDt. Qty UOM MRP PTS Disc% Rate Taxable Amt. Tax% SGST CGST IGST TotalAmt

ACTIMA ( O308002042 )

HEMA LABORATORIES PVT LTD,Uttarakhand

1 CEFTAS-100 DS 30 ML 30042019 IHC2231 10-24 348 NOS. 80.17 32.00 0.00 32.00 11,136.00 12.00 668.16 668.16 0.00 12,472.32

2 CEFTAS-100 DS 30 ML 30042019 IHC2231 10-24 12 NOS. 80.17 32.00 0.00 32.00 0.00 0.00 0.00 0.00 0.00 Discount/Free
SHIVA BIOGENETIC LABORATORIES,BADDI
3 APP UP PLUS SYP 200ML 30049039 UXL22008L 5-24 144 NOS. 137.00 28.90 0.00 28.90 4,161.60 12.00 249.70 249.70 0.00 4,661.00
YACCA LIFESCIENCES PRIVATE LIMITED,ROORKEE
4 ABD SUSPENSION 10ML (H) 30049029 2ASL006 6-24 300 NOS. 19.82 8.70 0.00 8.70 2,610.00 12.00 156.60 156.60 0.00 2,923.20
ZEISS PHARMA LTD,JAMMU
5 CEFTAS-50 DS 30 ML 30042019 DADO2006A 2-24 388 NOS. 47.70 18.00 0.00 18.00 6,984.00 12.00 419.04 419.04 0.00 7,822.08

6 CEFTAS-50 DS 30 ML 30042019 DADO2006A 2-24 12 NOS. 47.70 18.00 0.00 18.00 0.00 0.00 0.00 0.00 0.00 Discount/Free

Cheque : Due : 10-Feb-2023 Remarks : Total: 24,891.60

General warranty : U/S. 19/30 of Drug and Cosmetics Act 1940. We do hereby give the Warranty that the goods described as above & supplied by us do not contravence in any way of provision of section 18 of the said Act. Tax Amount 2,987.00
NOTE: PRODUCTS MENTIONED IN THIS INVOICE SHOULD NOT BE SOLD ABOVE THE MRP PRINTED IN THIS INVOICE IRRESPECTIVE OF THE MRP MENTIONED ON THE PRODUCT.
* ALSO COUMMUNICATE THE SAME TO RETAILERS.
*** Since this sale invoice is raised by ALFA MEDICAL AGENCIES on behalf of Intas Pharmaceutical Ltd, the TDS u/s 194Q, (if applicable) on this invoice has to be on Invoice Total 27,879.00
account of Intas Pharmaceutical Ltd under their PAN No : AAACI5120L
Accordingly necessary TDS certificate shall be issued in the name of Intas Pharmaceuticals Ltd with PAN No: AAACI5120L.

TERMS & CONDITIONS Cr.Adj Amt 0.00

1. If payment is not received withing the stipulated time, then interest will be charged @18% p.a. till the date of
payment. Dr.Adj Amt 0.00
2. Payment to be made by crossed Cheque / Demand Draft only in the name of IPL-CSA ALFA MEDICAL AGENCIES Tax Taxable CGST SGST/UGST IGST/CESS Rounding off(+/-) 0.40
3. Payment by cheque is subject to realization.
% Amt Amt Amt Amt
4. No Payment should be made in cash unless the person receiving payment has the authority to receive the amount and to issue the receipt Net Amount 27,879.00
under the company seal. 12.00 24,891.60 1,493.50 1,493.50
5. Company does not assume any responsibility once the consignment leaves our premises. Invoice Total (In Words) :
6. All transactions are subject to Ahmedabad. RUPEES TWENTY-SEVEN THOUSAND EIGHT
HUNDRED SEVENTY-NINE ONLY
Products falling under Price Control are supplied as per revised pricing to comply with SO Dated 19-12-2022. Ensure that all future supplies/Sales should be made strictly in
compliance with DPCO/NPPA guidelines only. For details , please refer the circular sent form Head office.
For, ALFA MEDICAL AGENCIES
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LTD.
For making RTGS/NEFT,HDFC Bank Account No. is 57500000920405 ,IFSC Code-HDFC0000006,Type of Account: Current
Please give Cheque against Delivery which will be Deposited On 45 days from the date of Delivery
E. & O.E. SUBJECT TO AHMEDABAD JURISDICTION IRN No : Authorised Signatory

Printed Date : 07-Jan-2023 Page 1 of 1