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    adarsh pagidi
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    This tax invoice from SRI SAI AGENCIES documents the sale of 4 medical items including joint replacement implants, trays and antibiotics to BIRRD Hospital in Tirupathi, Andhra Pradesh. The total sale amount is INR 51,378 with IGST of INR 2,446.55.

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    inv 2435

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    This tax invoice from SRI SAI AGENCIES documents the sale of 4 medical items including joint replacement implants, trays and antibiotics to BIRRD Hospital in Tirupathi, Andhra Pradesh. The total sale amount is INR 51,378 with IGST of INR 2,446.55.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    21 views8 pages

    Inv 2435

    Uploaded by

    adarsh pagidi
    This tax invoice from SRI SAI AGENCIES documents the sale of 4 medical items including joint replacement implants, trays and antibiotics to BIRRD Hospital in Tirupathi, Andhra Pradesh. The total sale amount is INR 51,378 with IGST of INR 2,446.55.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 8

    Tax Invoice (ORIGINAL FOR RECIPIENT) e-Invoice

    IRN : c5785d01e7eefea1b1acb665d0c56fd5cede-
    1aab79ac32c01af9d1ec595e2e82
    Ack No. : 152211896634684
    Ack Date : 4-Apr-22

    SRI SAI AGENCIES Invoice No. Dated


    No:2(1A), 1st Floor, Umpathy Street Extension, SSA/21-22/2435 2-Mar-22
    West Mambalam, Near Shobhna Kalyanamantapa, Chennai Delivery Note Mode/Terms of Payment
    DL.No:5803/M111/20B , 5682/M111/21B
    GST.33AEVPD3749L1Z1, PH.7030472301 Buyer’s Order No. Dated
    State Name : Tamil Nadu, Code : 33
    E-Mail : srisaiagencieschennai@hotmail.com Dispatch Doc No. Delivery Note Date

    Consignee (Ship to) Dispatched through Destination


    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    Terms of Delivery
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37
    Buyer (Bill to)
    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37

    Sl Description of Goods HSN/SAC Part No. Quantity Rate per Disc. % Amount

    No.

    1 SIGMA STAB GVF INS SIZE3 15MM 90213100 158123015 1 No 9,664.00 No 9,664.00

    Batch : D19091872 1 No
    Expiry : 31-Aug-2024
    LM:M/s DePuy Orthopaedics Inc., US
    DC:1405
    2 SIGMA PS FEM SZ. 3L 90213100 196040300 1 No 22,667.00 No 22,667.00

    Batch : 3648165 1 No
    Expiry : 31-Oct-31
    LM:DePuy Orthopaedics Inc., US
    DC:1360
    3 PFC MOD TIB TRAY CEM SZ 3 90213100 866023 1 No 16,600.00 No 16,600.00
    Batch : D21101325 1 No
    Expiry : 30-Sep-31
    LM:DePuy Orthopaedics Inc., US
    DC:1441
    4 Smartset GHV Gentamicin 40G 30064000 3095040 1 No 0.01 No 0.01
    Batch : 9880605 1 No
    Expiry : 31-Aug-23
    LM:DePuy Orthopaedics Inc., US
    DC:1420
    48,931.01
    IGST 2,446.55

    continued to page number 2


    SUBJECT TO CHENNAI JURISDICTION
    This is a Computer Generated Invoice
    Tax Invoice(Page 2) (ORIGINAL FOR RECIPIENT)

    SRI SAI AGENCIES Invoice No. Dated


    No:2(1A), 1st Floor, Umpathy Street Extension, SSA/21-22/2435 2-Mar-22
    West Mambalam, Near Shobhna Kalyanamantapa, Chennai Delivery Note Mode/Terms of Payment
    DL.No:5803/M111/20B , 5682/M111/21B
    GST.33AEVPD3749L1Z1, PH.7030472301 Buyer’s Order No. Dated
    State Name : Tamil Nadu, Code : 33
    E-Mail : srisaiagencieschennai@hotmail.com
    Dispatch Doc No. Delivery Note Date
    Consignee (Ship to)
    The Director ( BIRRD) Dispatched through Destination
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI Terms of Delivery
    State Name : Andhra Pradesh, Code : 37
    Buyer (Bill to)
    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37
    Sl Description of Goods HSN/SAC Part No. Quantity Rate per Disc. % Amount

    No.

    ROUND OFF 0.44


    PATIENT NAME : SK.SAMDAN
    AGE : 47/M
    DOCTOR NAME : DR.SANDEEP KRISHNA
    IP NO : UMR13144
    DATE OF IMPLANT : 2-Mar-22
    (TKR/L)

    Total 4 No 51,378.00
    Amount Chargeable (in words) E. & O.E
    INR Fifty One Thousand Three Hundred Seventy Eight Only
    HSN/SAC Taxable Integrated Tax Total
    Value Rate Amount Tax Amount

    90213100 48,931.00 5% 2,446.55 2,446.55


    30064000 0.01 5%
    Total 48,931.01 2,446.55 2,446.55

    Tax Amount (in words) : INR Two Thousand Four Hundred Forty Six and Fifty Five paise Only
    Company’s PAN : AEVPD3749L
    Declaration Company’s Bank Details
    Bank Name : UNION BANK OF INDIA
    We declare that this invoice shows the actual price of the A/c No. : 611701010050545
    goods described and that all particulars are true and correct. Branch & IFS Code : WEST MAMBALAM & UBIN0561177

    Customer’s Seal and Signature for SRI SAI AGENCIES

    Authorised Signatory

    SUBJECT TO CHENNAI JURISDICTION


    This is a Computer Generated Invoice
    Tax Invoice (DUPLICATE FOR TRANSPORTER) e-Invoice

    IRN : c5785d01e7eefea1b1acb665d0c56fd5cede-
    1aab79ac32c01af9d1ec595e2e82
    Ack No. : 152211896634684
    Ack Date : 4-Apr-22

    SRI SAI AGENCIES Invoice No. Dated


    No:2(1A), 1st Floor, Umpathy Street Extension, SSA/21-22/2435 2-Mar-22
    West Mambalam, Near Shobhna Kalyanamantapa, Chennai Delivery Note Mode/Terms of Payment
    DL.No:5803/M111/20B , 5682/M111/21B
    GST.33AEVPD3749L1Z1, PH.7030472301 Buyer’s Order No. Dated
    State Name : Tamil Nadu, Code : 33
    E-Mail : srisaiagencieschennai@hotmail.com Dispatch Doc No. Delivery Note Date

    Consignee (Ship to) Dispatched through Destination


    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    Terms of Delivery
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37
    Buyer (Bill to)
    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37

    Sl Description of Goods HSN/SAC Part No. Quantity Rate per Disc. % Amount

    No.

    1 SIGMA STAB GVF INS SIZE3 15MM 90213100 158123015 1 No 9,664.00 No 9,664.00

    Batch : D19091872 1 No
    Expiry : 31-Aug-2024
    LM:M/s DePuy Orthopaedics Inc., US
    DC:1405
    2 SIGMA PS FEM SZ. 3L 90213100 196040300 1 No 22,667.00 No 22,667.00

    Batch : 3648165 1 No
    Expiry : 31-Oct-31
    LM:DePuy Orthopaedics Inc., US
    DC:1360
    3 PFC MOD TIB TRAY CEM SZ 3 90213100 866023 1 No 16,600.00 No 16,600.00
    Batch : D21101325 1 No
    Expiry : 30-Sep-31
    LM:DePuy Orthopaedics Inc., US
    DC:1441
    4 Smartset GHV Gentamicin 40G 30064000 3095040 1 No 0.01 No 0.01
    Batch : 9880605 1 No
    Expiry : 31-Aug-23
    LM:DePuy Orthopaedics Inc., US
    DC:1420
    48,931.01
    IGST 2,446.55

    continued to page number 2


    SUBJECT TO CHENNAI JURISDICTION
    This is a Computer Generated Invoice
    Tax Invoice(Page 2) (DUPLICATE FOR TRANSPORTER)

    SRI SAI AGENCIES Invoice No. Dated


    No:2(1A), 1st Floor, Umpathy Street Extension, SSA/21-22/2435 2-Mar-22
    West Mambalam, Near Shobhna Kalyanamantapa, Chennai Delivery Note Mode/Terms of Payment
    DL.No:5803/M111/20B , 5682/M111/21B
    GST.33AEVPD3749L1Z1, PH.7030472301 Buyer’s Order No. Dated
    State Name : Tamil Nadu, Code : 33
    E-Mail : srisaiagencieschennai@hotmail.com
    Dispatch Doc No. Delivery Note Date
    Consignee (Ship to)
    The Director ( BIRRD) Dispatched through Destination
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI Terms of Delivery
    State Name : Andhra Pradesh, Code : 37
    Buyer (Bill to)
    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37
    Sl Description of Goods HSN/SAC Part No. Quantity Rate per Disc. % Amount

    No.

    ROUND OFF 0.44


    PATIENT NAME : SK.SAMDAN
    AGE : 47/M
    DOCTOR NAME : DR.SANDEEP KRISHNA
    IP NO : UMR13144
    DATE OF IMPLANT : 2-Mar-22
    (TKR/L)

    Total 4 No 51,378.00
    Amount Chargeable (in words) E. & O.E
    INR Fifty One Thousand Three Hundred Seventy Eight Only
    HSN/SAC Taxable Integrated Tax Total
    Value Rate Amount Tax Amount

    90213100 48,931.00 5% 2,446.55 2,446.55


    30064000 0.01 5%
    Total 48,931.01 2,446.55 2,446.55

    Tax Amount (in words) : INR Two Thousand Four Hundred Forty Six and Fifty Five paise Only
    Company’s PAN : AEVPD3749L
    Declaration Company’s Bank Details
    Bank Name : UNION BANK OF INDIA
    We declare that this invoice shows the actual price of the A/c No. : 611701010050545
    goods described and that all particulars are true and correct. Branch & IFS Code : WEST MAMBALAM & UBIN0561177

    Customer’s Seal and Signature for SRI SAI AGENCIES

    Authorised Signatory

    SUBJECT TO CHENNAI JURISDICTION


    This is a Computer Generated Invoice
    Tax Invoice (TRIPLICATE FOR SUPPLIER) e-Invoice

    IRN : c5785d01e7eefea1b1acb665d0c56fd5cede-
    1aab79ac32c01af9d1ec595e2e82
    Ack No. : 152211896634684
    Ack Date : 4-Apr-22

    SRI SAI AGENCIES Invoice No. Dated


    No:2(1A), 1st Floor, Umpathy Street Extension, SSA/21-22/2435 2-Mar-22
    West Mambalam, Near Shobhna Kalyanamantapa, Chennai Delivery Note Mode/Terms of Payment
    DL.No:5803/M111/20B , 5682/M111/21B
    GST.33AEVPD3749L1Z1, PH.7030472301 Buyer’s Order No. Dated
    State Name : Tamil Nadu, Code : 33
    E-Mail : srisaiagencieschennai@hotmail.com Dispatch Doc No. Delivery Note Date

    Consignee (Ship to) Dispatched through Destination


    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    Terms of Delivery
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37
    Buyer (Bill to)
    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37

    Sl Description of Goods HSN/SAC Part No. Quantity Rate per Disc. % Amount

    No.

    1 SIGMA STAB GVF INS SIZE3 15MM 90213100 158123015 1 No 9,664.00 No 9,664.00

    Batch : D19091872 1 No
    Expiry : 31-Aug-2024
    LM:M/s DePuy Orthopaedics Inc., US
    DC:1405
    2 SIGMA PS FEM SZ. 3L 90213100 196040300 1 No 22,667.00 No 22,667.00

    Batch : 3648165 1 No
    Expiry : 31-Oct-31
    LM:DePuy Orthopaedics Inc., US
    DC:1360
    3 PFC MOD TIB TRAY CEM SZ 3 90213100 866023 1 No 16,600.00 No 16,600.00
    Batch : D21101325 1 No
    Expiry : 30-Sep-31
    LM:DePuy Orthopaedics Inc., US
    DC:1441
    4 Smartset GHV Gentamicin 40G 30064000 3095040 1 No 0.01 No 0.01
    Batch : 9880605 1 No
    Expiry : 31-Aug-23
    LM:DePuy Orthopaedics Inc., US
    DC:1420
    48,931.01
    IGST 2,446.55

    continued to page number 2


    SUBJECT TO CHENNAI JURISDICTION
    This is a Computer Generated Invoice
    Tax Invoice(Page 2) (TRIPLICATE FOR SUPPLIER)

    SRI SAI AGENCIES Invoice No. Dated


    No:2(1A), 1st Floor, Umpathy Street Extension, SSA/21-22/2435 2-Mar-22
    West Mambalam, Near Shobhna Kalyanamantapa, Chennai Delivery Note Mode/Terms of Payment
    DL.No:5803/M111/20B , 5682/M111/21B
    GST.33AEVPD3749L1Z1, PH.7030472301 Buyer’s Order No. Dated
    State Name : Tamil Nadu, Code : 33
    E-Mail : srisaiagencieschennai@hotmail.com
    Dispatch Doc No. Delivery Note Date
    Consignee (Ship to)
    The Director ( BIRRD) Dispatched through Destination
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI Terms of Delivery
    State Name : Andhra Pradesh, Code : 37
    Buyer (Bill to)
    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37
    Sl Description of Goods HSN/SAC Part No. Quantity Rate per Disc. % Amount

    No.

    ROUND OFF 0.44


    PATIENT NAME : SK.SAMDAN
    AGE : 47/M
    DOCTOR NAME : DR.SANDEEP KRISHNA
    IP NO : UMR13144
    DATE OF IMPLANT : 2-Mar-22
    (TKR/L)

    Total 4 No 51,378.00
    Amount Chargeable (in words) E. & O.E
    INR Fifty One Thousand Three Hundred Seventy Eight Only
    HSN/SAC Taxable Integrated Tax Total
    Value Rate Amount Tax Amount

    90213100 48,931.00 5% 2,446.55 2,446.55


    30064000 0.01 5%
    Total 48,931.01 2,446.55 2,446.55

    Tax Amount (in words) : INR Two Thousand Four Hundred Forty Six and Fifty Five paise Only
    Company’s PAN : AEVPD3749L
    Declaration Company’s Bank Details
    Bank Name : UNION BANK OF INDIA
    We declare that this invoice shows the actual price of the A/c No. : 611701010050545
    goods described and that all particulars are true and correct. Branch & IFS Code : WEST MAMBALAM & UBIN0561177

    Customer’s Seal and Signature for SRI SAI AGENCIES

    Authorised Signatory

    SUBJECT TO CHENNAI JURISDICTION


    This is a Computer Generated Invoice
    Tax Invoice (EXTRA COPY) e-Invoice

    IRN : c5785d01e7eefea1b1acb665d0c56fd5cede-
    1aab79ac32c01af9d1ec595e2e82
    Ack No. : 152211896634684
    Ack Date : 4-Apr-22

    SRI SAI AGENCIES Invoice No. Dated


    No:2(1A), 1st Floor, Umpathy Street Extension, SSA/21-22/2435 2-Mar-22
    West Mambalam, Near Shobhna Kalyanamantapa, Chennai Delivery Note Mode/Terms of Payment
    DL.No:5803/M111/20B , 5682/M111/21B
    GST.33AEVPD3749L1Z1, PH.7030472301 Buyer’s Order No. Dated
    State Name : Tamil Nadu, Code : 33
    E-Mail : srisaiagencieschennai@hotmail.com Dispatch Doc No. Delivery Note Date

    Consignee (Ship to) Dispatched through Destination


    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    Terms of Delivery
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37
    Buyer (Bill to)
    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37

    Sl Description of Goods HSN/SAC Part No. Quantity Rate per Disc. % Amount

    No.

    1 SIGMA STAB GVF INS SIZE3 15MM 90213100 158123015 1 No 9,664.00 No 9,664.00

    Batch : D19091872 1 No
    Expiry : 31-Aug-2024
    LM:M/s DePuy Orthopaedics Inc., US
    DC:1405
    2 SIGMA PS FEM SZ. 3L 90213100 196040300 1 No 22,667.00 No 22,667.00

    Batch : 3648165 1 No
    Expiry : 31-Oct-31
    LM:DePuy Orthopaedics Inc., US
    DC:1360
    3 PFC MOD TIB TRAY CEM SZ 3 90213100 866023 1 No 16,600.00 No 16,600.00
    Batch : D21101325 1 No
    Expiry : 30-Sep-31
    LM:DePuy Orthopaedics Inc., US
    DC:1441
    4 Smartset GHV Gentamicin 40G 30064000 3095040 1 No 0.01 No 0.01
    Batch : 9880605 1 No
    Expiry : 31-Aug-23
    LM:DePuy Orthopaedics Inc., US
    DC:1420
    48,931.01
    IGST 2,446.55

    continued to page number 2


    SUBJECT TO CHENNAI JURISDICTION
    This is a Computer Generated Invoice
    Tax Invoice(Page 2) (EXTRA COPY)

    SRI SAI AGENCIES Invoice No. Dated


    No:2(1A), 1st Floor, Umpathy Street Extension, SSA/21-22/2435 2-Mar-22
    West Mambalam, Near Shobhna Kalyanamantapa, Chennai Delivery Note Mode/Terms of Payment
    DL.No:5803/M111/20B , 5682/M111/21B
    GST.33AEVPD3749L1Z1, PH.7030472301 Buyer’s Order No. Dated
    State Name : Tamil Nadu, Code : 33
    E-Mail : srisaiagencieschennai@hotmail.com
    Dispatch Doc No. Delivery Note Date
    Consignee (Ship to)
    The Director ( BIRRD) Dispatched through Destination
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI Terms of Delivery
    State Name : Andhra Pradesh, Code : 37
    Buyer (Bill to)
    The Director ( BIRRD)
    BIRRD (T) Hospital , Tirupathi, Tirupathi
    GSTIN/UIN : 37AAATT4126G3ZI
    State Name : Andhra Pradesh, Code : 37
    Sl Description of Goods HSN/SAC Part No. Quantity Rate per Disc. % Amount

    No.

    ROUND OFF 0.44


    PATIENT NAME : SK.SAMDAN
    AGE : 47/M
    DOCTOR NAME : DR.SANDEEP KRISHNA
    IP NO : UMR13144
    DATE OF IMPLANT : 2-Mar-22
    (TKR/L)

    Total 4 No 51,378.00
    Amount Chargeable (in words) E. & O.E
    INR Fifty One Thousand Three Hundred Seventy Eight Only
    HSN/SAC Taxable Integrated Tax Total
    Value Rate Amount Tax Amount

    90213100 48,931.00 5% 2,446.55 2,446.55


    30064000 0.01 5%
    Total 48,931.01 2,446.55 2,446.55

    Tax Amount (in words) : INR Two Thousand Four Hundred Forty Six and Fifty Five paise Only
    Company’s PAN : AEVPD3749L
    Declaration Company’s Bank Details
    Bank Name : UNION BANK OF INDIA
    We declare that this invoice shows the actual price of the A/c No. : 611701010050545
    goods described and that all particulars are true and correct. Branch & IFS Code : WEST MAMBALAM & UBIN0561177

    Customer’s Seal and Signature for SRI SAI AGENCIES

    Authorised Signatory

    SUBJECT TO CHENNAI JURISDICTION


    This is a Computer Generated Invoice

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