Tax Invoice

Invoice No. Date

S S MEDICAL SYSTEM 112 31-01-2022
Near Bharat Petrol Pump, Reed Sahab ka Dharamshala, Gorakhpur
Phone no.: 9721852005 E-way Bill number Place of supply
Email: ssmedicalsystem@rediffmail.com N/A 09-Uttar Pradesh
GSTIN: 09BOZPS7977A1ZW
State: 09-Uttar Pradesh

Bill To
NAVEEN
State: 09-Uttar Pradesh

# Item name HSN/ SAC Quantity Unit Price/ Unit GST Amount

1 AIRSENCE 10 AUTOSET TRI 90192090 1 Ctn 66,964.29 8,035.71 (12%) 75,000.00

Total 1 8,035.71 75,000.00

Invoice Amount In Words Amounts:

Seventy Five Thousand Rupees only Sub Total 75,000.00

Payment Mode Total 75,000.00

Cash Received 75,000.00

Balance 0.00

CGST SGST
HSN/ SAC Taxable amount Total Tax Amount
Rate Amount Rate Amount

90192090 66,964.29 6% 4,017.86 6% 4,017.86 8,035.71

Total 66,964.29 4,017.86 4,017.86 8,035.71

Terms and conditions: For, S S MEDICAL SYSTEM

Thanks for doing business with us!

Authorized Signatory