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Original Copy

Bill of Supply
LFS Healthcare Pvt. Ltd

3rd Floor Parsvnath Arcadia,Opp. Motorola Building, MG Road ,Sec-14, Gurgaon – 122001
care@droplet.net.in
www.droplet.net.in

GSTIN: 06AACCL9649R1ZL
Serial no. of Invoice: LT17180100067415
Date : 08-09-2019
Details of Receiver (Billed to) Details of Consignee (Shipped to)
Name: jalaj jain Name: jalaj jain
Address: H.No.108,ground floor F block sector 56 Noida F block Address: H.No.108,ground floor F block sector 56 Noida F block
sector 56 sector 56
State: Uttar Pradesh State: Uttar Pradesh
State Code: 09 State Code: 09
GSTIN/Unique ID: GSTIN/Unique ID:

S.No Description of Services HSN/SAC Code Taxable value

Diagnostic Services as under:- 999316


1. Whole Body Check Up With Vitamins Profile (includes 104 Test) 4100

Total 4100
Invoice Total ( In Words) :
Invoice Total 4100
Four thousand one hundred only

Terms & Conditions For LFS Healthcare Private Limited


1. Interest @ 18% p.a. will be charged if the payment is not made with in the
stipulated time.
2. All disputes will be subject to Gurugram Jurisdiction only
CIN:U85100HR2015PTC057368
PAN : AACCL9649R

Authorised Signatory

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