Original Copy

Bill of Supply cum Receipt

LFS Healthcare Pvt. Ltd

5th Floor, Tower B, Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector-14, Gurgaon, Haryana - 122001

https://dash.droplet.net.in

care@droplet.net.in

GSTIN: 06AACCL9649R1ZL
Date: 05-04-2021
Serial no. of Invoice: LT21220401626987

Details of Receiver (Billed to) Details of Consignee (Shipped to)

Name: Manjiri Jagtap Name: Manjiri Jagtap

Address: B2-1701, F RESIDENCES, BALEWADI, Address: B2-1701, F RESIDENCES, BALEWADI,

Maharashtra, Balewadi, Pune, 411045 Maharashtra, Balewadi, Pune, 411045

State: State:

State Code: State Code:

GSTIN/Unique ID: GSTIN/Unique ID:

Lab test conducted by Metropolis

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

1. COVID-19 RTPCR-67366 999316 800.0
Invoice Total (In words): Eight hundred Total 800.0
Note: Invoice for collection charges will be raised by the entity from where the order was booked.

For LFS Healthcare Private Limited

Terms & Conditions

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.
3. Expenses on Preventive healthcare checkups are eligible for a
tax benefit (under 80 D) subject to Government guidelines.

CIN: U85100HR2015PTC057368

PAN: AACCL9649R
Authorised Signatory