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CRITISURE MEDITECH
Your Trusted Partner In Healthcare

PROFORMA INVOICE
Profoma No.-7890

Customer Name: PRAMUKH MEDICAL AND SURGICAL

Address: 12-14,Shree Hari Super Market, Near New Bus
stand, Jasdan, Gujarat, India-360050

GSTIN:24HIEPS1268H1Z1
Phone: 96019 33344

Delivery Challan # Order Date # Dispatch Date #

NA 09/09/2021 10/09/2021

Bill To: proforma Date # 09/09/2021

Ref # Whatsapp
same as customer address Challan Type: Disposable Supply
Tax Invoice no.NA
Payment Terms 100% advance(Subject
to realization)
Place of Supply: Gujarat(24)

SR ITEM
HSN/SAC QTY Make Rate Pr PC GST Final Amount
No. DESCRIPTION
5 Ml syringe
1 9019 2400 Medivac 1.61 12% 4327.68

GST No.-- 24AANFC9076F1Z7 ROUND OFF 0.32

FINAL AMOUNT
Bank Details 4328
Bank name- ICICI Bank- Astron Chowk - Rajkot
A/c No.- 331105000414
IFSC Code- ICIC0003311

DL No. 20B-160812 & 21B-160813

Notes: To Pay supply, if To pay not possible freight charge need to be extra before consignment leave our premisis.
Please Inform us with Payment reference number .

105,JITENDRA LODGE BLDG,20/21 NEW JAGNATH CORNER DR. YAGNIK ROAD,RAJKOT-360001

Email-critisure@gmail.com Call- 7990981978

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