CVS Pharmacy receipt template

A pharmacy receipt in the long, narrow format drugstore registers use, with front-of-store items, tax, and a pharmacy note in the footer.

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CVS Pharmacy - Receipt preview
Receipt header image

2187 EAST COLONIAL DRIVE ORLANDO, FL 32803 407.555.0186

REG#02 TRN#6341 CSHR#0000048 STR#4187

1 B460 NL CLP DUO EACH6.79
SUBTOTAL6.79
FL 7.0% TAX.48
TOTAL7.27
CASH8.00
CHANGE.73

3816 5472 1098 7643 22 Returns with receipt, subject to CVS Return Policy, thru 09/10/2026

AUGUST 11, 2026

4:36PM

GET YOUR CVS EXTRACARE CARD

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About this receipt template

Drugstore receipts run narrow and long because the register keeps printing notices after the sale ends. This template keeps the purchase itself clean - health and household lines, tax, payment - and places the pharmacy message in the footer where those notices normally begin.

What this template includes

  • ✓Narrow, long drugstore layout
  • ✓Health and household line items
  • ✓Pharmacy notice in the footer
  • ✓Itemized tax and payment block

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Receipt header image

EXAMPLE WALMART SUPERCENTER #3182 4820 MARKETPLACE BOULEVARD GREENFIELD, IN 46140 (317) 555-0142

ST# 3182 OP# 00287 TE# 12 TR# 08473

GREAT VALUE MILK$3.24
BANANAS$1.48
PAPER TOWELS$8.97
SUBTOTAL$13.69
TAX$1.13
TOTAL$14.82
TEND$14.82
ACCOUNT #**** **** **** 1234
APPROVAL #746290
REF #2343453453
TRANS ID -12312343EC7D3E
VALIDATION -7392
PAYMENT SERVICEE
TERMINAL #AE75DF92

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Subtotal$8.99
Tax$0.72
Total$9.71
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