💊 Pharmacy Details
👤 Patient / Prescription
🧾 Bill Details
💊 Medicines
💳 Payment
SANJEEVANI PHARMACYRETAIL CHEMIST & DRUGGIST
Patient
\u2014
Keep medicines out of reach of children
Prescribed By / Rx
Dr. \u2014
Rx No: \u2014
Address
—
📄 Prescription attached: medicines dispensed strictly as per prescription dated today. Schedule H/H1 drugs to be taken only under medical supervision.
| Medicine / Item | Batch No. | Expiry | Qty | MRP (₹) | Disc % | GST % | Amount (₹) | Taxable (₹) |
|---|
Total MRP Value\u20B90.00
Less: Discount-\u20B90.00
Taxable Value\u20B90.00
CGST + SGST (incl. in MRP)\u20B90.00
NET AMOUNT PAYABLE\u20B90.00
Amount in words: \u2014
⚠️ Schedule H/H1 drug warning: To be sold by retail on the prescription of a Registered Medical Practitioner only. Check batch no. & expiry before purchase. Goods once sold will not be taken back except as required under the Drugs & Cosmetics Act.
E. & O.E. Subject to Mumbai jurisdiction.
Bill supported by valid prescription on file.
Bill supported by valid prescription on file.
R. Shetty
REGISTERED PHARMACIST
⚠️ Generate medicine bills for personal record keeping, mock-ups or design references only. Do not use fabricated bills for insurance claims, reimbursements or any fraudulent purpose.