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Doctor Bill Format 04

This document is a tax invoice from a seller to a patient for various medical consultation fees totaling 2078.7. It lists the seller's name and address, patient information, 7 fee line items with details like price, quantity, discount, taxes. The total is provided along with breakdown of subtotal, discount, SGST, CGST, payment received and balance due.

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vdsastation
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1K views

Doctor Bill Format 04

This document is a tax invoice from a seller to a patient for various medical consultation fees totaling 2078.7. It lists the seller's name and address, patient information, 7 fee line items with details like price, quantity, discount, taxes. The total is provided along with breakdown of subtotal, discount, SGST, CGST, payment received and balance due.

Uploaded by

vdsastation
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Seller Name:

Address :

Phone No.:
Email ID:
GSTIN:
State:

Tax Invoice
Bill To: Patient Name
Name: Age:
Address: Blood Group:

Contact No.: Invoice No.: ABC-2022-0001


GSTIN No.: Date: DD/MM/YYYY
State:

Price/
# Service name HSN QTY Unit Disc GST Amount
Unit
1 Consultant Fee 1 1234 2 2 200.00 20 5% 399
2 Consultant Fee 2 1235 1 1 250.00 10 18% 283.2
3 Consultant Fee 3 1236 1 1 340.00 20 5% 336
4 Consultant Fee 4 1237 1 2 300.00 30 5% 283.5
5 Consultant Fee 5 1237 1 2 300.00 30 5% 283.5
6 Consultant Fee 6 1237 1 1 300.00 10 5% 304.5
7 Consultant Fee 7 1237 1 1 200.00 20 5% 189

Total 8 140 128.70 2079

Sub Total: 2090


Discount: 140
Amount in words: SGST 64.35
CGST 64.35

Total 2078.7
Received 2078.7
Balance 0.00
Payment Mode:

Company seal and Sign


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