Patient Name : sandhya roy Invoice No. : 2026270091 Patient Mob. : 7310117559 Date : 09-07-2026 Doctor Name : Dr. sashi maurya GST No : Sr . Product Pack Size HSN Code Batch Exp Qty MRP Dis. Amount Tax Amount (Rs.) 1 Rosuvastatin Tablets IP 5mg Mnf By : 10 300490 PRT251 0-93 9/27 30 12.38 0.00 0.00 37.14 2 Bisoprolol Fumarate Tablets 2.5 mg Mnf By : 10 300490 54TBT0 47 10/27 60 10.31 0.00 0.00 61.86 3 Telmisartan Tablets IP 80mg Mnf By : 10 300490 TT- 198004 3 1/27 30 22.69 0.00 0.00 68.07 4 Cholecalciferol Soft Gelatin Capsule 60000 IU Mnf By : 4 300490 99 HU2505 10/27 12 18.75 0.00 0.00 56.25 5 Oral Rehydration Salts IP 20.5g Sachet (WHO Formula) Mnf By : 1 300490 AG2240 08 8/26 2 10.00 0.00 0.00 20.00 6 Diclofenac Dithylamine 1.16%w/w, Linseed Oil 3%w/w, Methyl Salicylate 10%w/w and Menthol 5%w/w Spray Mnf By : 1 300490 69 DCL250 12 10/27 1 51.56 0.00 0.00 51.56 7 Febuxostat Tablets 40mg Mnf By : 10 300490 BRE032 36A 2/28 30 18.75 0.00 0.00 56.25 Remark : Gross Total 351.13 Total Tax 0.00 CESS 0.00 Round Off -0.13 Net Amount 351 Terms & Conditions : For,PRADHANMANTRI BHARTIYA JANAUSHADHI KENDRA Subject to Lucknow Jurisdiction. ****GET WELL SOON**** Pharmacist Sign Page No.1 PRADHANMANTRI BHARTIYA JANAUSHADHI KENDRA Shop No-1 Upper Ground Floor Plot No-112 Ka Haivat Mau Mawaviya Gandhi Nagar Opp R K Tower, Telibagh, Lucknow, Lucknow, Uttar Pradesh, India - 226029 GST No. : , DL No:RLF20UP2026000180,RLF21UP2026000186, Contact No:7839723488,8953863658,7839723488, Email ID: officialpatrakar@gmail.com ORIGINAL Bill of Supply