q OFFICE ; E 13/30, Shahu Nagar, DESTINATIONS SWRA) Nati Gan Vaart S77." wanda a> Ad gs god boa = BPE vote: 216748227” Ema sartoshcouter@gnel con UAT ERS cst :2racrrozooaszc No. 98080 | CONSIGNEE py awe «etl Rn Ae cnc I oe we re A ICL Sa CONTENTS - DESCRIPTION "ANOUNT | {SAD TO CONTAIN). RUPPEES iva stagnant onc corae pean mat ery rts, ey S}Tht nae ase enna conte sfcartage pron on ovene ne snags Cont Service Tax Maye ae onde ty ane y f (SIGNATURE) SENDER'S NAME SIGNATURE, Dare: ive: | ORAND TOTAL SHIPPER COPY THANKS FOR USING SANTOSH TRADERSDetails of Consignor ‘Siemens Healthcare Pvt. Ltd. C-3, Shree Rajlaxmi Logistics ‘Thane, Maharashtra - 421302 GSTINIUIN : 27AAVCS8021P1ZF State code :27 Siemens Healthcare Pvt. Ltd, 6th Floor, Brillant Solitaire Indore, Madhya Pradesh, 452010 State Code. 23 GSTINIUIN. 23AAVCS8021P1ZN PAN NO SIEMENS Healthineers Tax Invoice Original Duplicate for Recipient for Transportor Se MH3227707125 deference No borse1 i489 Customer No ST4LB21010 I Teplicate for Supplier Date 25.08.2022 ‘Customers Reference Date 4511609883 25.08.2022 Contact MAHESH RANE. IN SHS AP IND CS OP SLG Phone +91 Fax +91 Details of Consignee (Ship to) Global Health Pvt. Ltd. Medanta Indore * Plot No.8, PU-4, Sch No 54, Vijayna +91 (9301) 817737 Indore, Madhya Pradesh, 452008 State Code. 23 P3AAVCS8021P1ZN Incotermsa2010 tem | Description of Goods / Services origin Tax [currency INR. Taxable Value ‘Currency INR. Unit Price ‘Currency INR Jouantity/unit 7 10080262 \GBT INVERTER ASSEMBLY ¢ AL: 9X9999 CCN: 9x9999 ‘Service Notification Number 728106592822 |(__Batch: 0007196632 Expiry Date Daivery note SI7RC4018034900 did 25.08.2022 HSNISAG CODE: 85049090 Integrated GST: 18.00 % Hom Total Tota Integrated GST: Grand Total: Rupees Fifteen Thousand Two Hundred Fifty Seven & 1 12,930.12 12,930.12 per 1 PC 2,327.42 12,930.12 2327.42 15,257.56 also Fifty Fout Only Registered office Unt 2A, Sth Floor, North Tower, Gade One, Brgjanaregar Easter Express Hi par Nimber U1aek lncia. Corporate Ide joMMi2015PTC294059 Tollfree 1800208 1800 Contact e-mail he_contactindia@stomons hoalh Virol East Mumal-400079, Page 1SIEMENS Healthineers Details of Consignor ‘Siemens Healthcare Pvt. Lid. Tax Invoice C-3, Shree Rajlaxmi Logistics Thane, Maharashtra - 421302 GSTINIUIN : 27AAVCS8021P1ZF Gepenger Invoice No: MH3227707125 Details of Recipient (Bill to) 613211450 388.2022 Siemens Healthcare Put. Ltd cussions 6th Floor, Brillant Solitaire StarB2t010 Indore, Madhya Pradesh, 452010 State Code. 23 GSTINIUIN. 23AAVCS8021P1ZN PAN NO Interest as prov wil not be taken back unless specialy agreed by E80, ‘Siemens Healthcare Private Limited ‘This documents dgtally signed rer: Supa Murer Bitar ag 25 2028 ‘athoread Sipnaton | Interest as proved in the agreement will be charged on overdue accounts. Goods once supplied wil nt be taken back unless specially agreed by us. Pi id Registered office: Unit 8A, th Floor, North Tower, Godre| One, Braishanagar,castom Express Hey Vilhe Eash Mma! 400079, ind Conpezae deni Number Ursedened PT CabAeee ‘oil rea Yat 200-1 Contact e-mal he contact india@siemens-healthineers.com ‘Nolce: Compliance with legal and intemal regulations is an integral part of all business processes al Siemens. Possible infringements can be reported to our Helpdesk “Tell us” al naw siemens comfelis Page SaroDOMESTIC COURIER: GSTIN :E 13/30, Shahu Nagar, +: 9167348227 - E-mail: santoshcourier@gmail.com Mahim (East), Mumbai - 17, Vehicle No. : 27AEFPG234001ZC | (CONSIGNEE NTENTS-DESGRIPTION | ACTUAL | CHARGED “AMOUNT werent || ‘orenTerts CHARGES | _RUPPEES id Supply Chain PYETLAE a cage + | Z-Package ky eg |Z2500. ot Charges security Tee can a cnn ccna ec gros tons oe ramos Cart Service Tex TWEE sedate sane s (GIGNATURE) SSENDER'S NAME SIGNATURE are: Time: | GRAND TOTAL | a SHIPPER COPY THANKS FOR USING SANTOSH TRADERSDetails of Consignor Siemens Healthcare Pvt. Ltd C-3, Shree Rajiaxmi Logistios ‘Thane, Maharashtra - 421302 GSTINIUIN : 27AAVCS8021P1ZF SIEMENS Healthineers ° Tax Invoice Duplicate Original Triplicate eaten for Recipient for Transporter for Supplier Invoice No: MH3227707118 Details of Recipient (Bill to) Eeterence No, Pay Siemens Healthcare Pvt. Ltd cana a Customer - Storage Loc. 482 1003 STatBot003 65762239 4th floor, Plot no § Scheme no. 54, Kanadiya Road,, PU - 4, Commercial, Indore, Madhya Pradesh, 452001 State Code. 23 GSTINIUIN. 23AAVCS8O21P1ZN PAN NO ‘Customer's Reference Date Contact MAHESH RANE 4511609840 25.08.2022 _| IN SHS AP IND CS OP SLG Phone +91 Fax 491 Details of Consignee (Ship to) incotermse2010 Bhopal Memorial Hosp. & Res. Cent. Raisen Byepass Rd., Near Karond. +91 99186 93565 Bhopal, Madhya Pradesh, 462038 State Code. 23 P3AAVCS8021P1ZN ttem | Description of Goods / Services Origin auantiyrunit | Unit Price | Taxable Value | Tax Currency NR | Currency INR | Curroney INR 70 | 10864050 DE 7] 489,709.86 | 489,790.86, Pc 10864050 \MaRS 20.2 48x per 1 PC ‘AL: SI999RU_883VII_ ECCN: 4400481 Service Notification Number 728108589093, Batch: 0007200001 Expiry Dae: Delivery note SI7RC4018034820 dt 25 08.2022 HSNISAC CODE: 90189019 Integrated GST: 12.00 % 5075.98 tem Total ec Total Integrated GST: 58.775.98 Grand Total s4s.s75.84 Rupees Five Lakh Forty Eight Thousand Five Hundred Seventy Five & Paise Eighty Four|Only ares Fea eal slred office: Un 8A. eth Flor Nod Tower, Goce O rerectran a mane me Tol reg F800-209" 18 oer erasers lear a ee PageSIEMENS . Details of Consignor Healthineers ‘Siemens Healthcare Pvt. Ltd. . C-3, Shree Rallaxmi Logistics Tax Invoice Thane, Maharashtra - 421302 GSTINIUIN : 27AAVCS8021P 1ZF State code :27 Invoice Nox MH3227707118 Details of Recipient (Bill to) borers 38.08.2022 Siemens Healthcare Pvt. Ltd Customer No Customer - Storage Loc. 4L82 1003 ST4B21003 65762239 4th floor, Plot no 5 Scheme no. 54, Kanadiya Road,, PU - 4, Commercial, Indore, Madhya Pradesh, 452001 State Code. 23 GSTINJUIN. 23AAVCS8021P1ZN PAN NO. We have supplied from SHPL-Lopstics Service Maharastra To Recipien state Madhya Prefiesh and consigned the goods to [Madhya Pradesh Under LR No. BLUE.DART at. 25.08|2022 Which is bclosed! has beenfiorwarded tothe csignee. ‘Sales Org: 5082, 16 authorized for eport only to the “They may not be [esol ized ulimate congignee oF county of ulimate destination for use by the ultmate condanee or end-uspris) herein identi transferred, or otherwise disposed of, to any ther countryor to any perso} other than the au ‘end-user(), ether in thelr orginal form or ater boing incofporated into othr items, without fie obiaining approvallrom the U.S. ‘Government or as otherwise authorized by USS, law and régulaions,iiemd labeled with “AL” uhequal “N* are subjqt to European / atonal export authorization. items without label or wih lapel "ALN" /"ECENEN" of label “AL}K9900"/“ECCN: 849998" may equi authorization from responsible autores depencifg onthe fal ehd-use, or te deslfation “These items are controlled by the U.S. Government (wh + ed with "ECN” unequal "N") Interest as provid ent willbe charged on oferdue accounts, Goods once supplps wil not be taken pack unless specially agreed by us. E.B0E, Giamens Healihoare Private Linited ‘This documents dgtaly signed. ‘Signer: Sudipta Muknarjoe Date Thu, Aug 25, 2022 1.9945 ‘Rathorised Signatory Interest as provided inthe agreement wil be charged on overdue accounts Goods once supplied will not be taken back unless specially agreed by us. ‘Siemens Hoalheare Pvt Li. Rogistered office: Unit 9A, Sth Floor, North Tower, Godel One astorn Express Hishiay. Vidwol East. Iisa 0007e, Cora ery Number Ursedenta015P1 C2468 Toll roe 1800 209-1 Contact e-mal ‘he. contact indla@stemens-healthingers.com Tiotce: Compliance with legal and intemal regulations is an inlegral par ofall business processes al Siemens. Possible infangements can be reported to aur Helpdesk "Tell us” at naw siemens combalis Page Sits:1. EAWAY BILE Details ‘eWay Bil No: 2614 7252 3035, Ga Mode ‘Approximate Distance : 748km Document Deals: Tax lnvoi rated Date: 25/08/2022 02:27 PM Generated By :27AAV C8802 1PIZF mns227707118 -25108/2022 ‘Vali Upto: Not Valid for Movement 25 Part Bis not entered ‘Transaction Type : Regular 2. Address Details From to Sears Healthcare Pate Linas Deaton Fem C3, Stee Rajan Loses ‘wand Thane, Manarehs Manaraehn21302 (OST: Z3AAV C5002 1PIZN ashy Proaosh| Sip To ‘opal lm Hos & res Cont Rasen Byopas re ear Karen ‘Bhopal Masta Paceshs6Z038 3. Goods Details Product Name & Description — LeGST Amount &0.00 ‘Other Amount & 0.00 Total Taxable Amount € 489,790.85, CESS Non Advo! amount & 0.00, HSN Code Quantity ‘Taxable Amount(Rs) Tax rato (C+SsH+cesssCoss Non ‘Advol) 90189019 10864060 & Mars 20.2 48RX 489,709.86 Oe0r12+0¥0 1.00 PCS SGST Amount £0.00 _IGST Amount € 58,775.98 CESS Amount € 0.00 Total Iv. Amount ® 5,48,975.84 4. Transportation Details ‘Transporter I & Name : 27AEFPG2340Q1ZC & SANTOSH TRADERS “Tansponer DOC. No & Date ‘5. Vehicle Details Mode Vehicle Tans ae oe No & Dt. oe ‘CEWB No. (tany) Mutt Vehicle Entered By pescheesay Lmgare O42 = +E 13/30, Shahu Nagar, DESTINATION, Rea et aad ‘Mahim (East), Mumbai - 17, Vehicle No. fs Mobile: 9167345227 - E-mail : santoshcourier@gmail.com ostIN :27acreczwoaize CB} ) 2667 [No _57809 CONSIGNEE 1 Foor SHAS Tynbe “trdere os oa rer Or To CONAN) treats | Welcee” Panty] cneor oy auppees aot g a= : Seroe Charges 239 yee] Cede oncneee roraL eae Fa Santoah Traders tect tome rmeins sree senios t (SIGNATURE) SENDER'S NAME SIGNATURE DATE: TIME: GRAND TOTAL CONSIGNEE COPY THANKS FOR USING SANTOSH TRADERS.12669 Details of Consignor Healthineers ‘Siemens Healthcare Pvt. Ltd. Fy 6-2 Shree Raaxmi Logistes Tax Invoice Thane, Maharashtra - 421302 GSTINIUIN : 27AAVCS8021P1ZF Sais se forRocipiont for Transporter for Supplior Invoice No: MH3227707138 Details of Recipient (Bill to) 6875511803 38082022 Siemens Healthcare Pvt. Ltd meee Customer - Storage Loc. 4LB2 1001 ST4621001 65762155, 4th floor, Plot no § Scheme no. 54, Kanadiya Road,, PU - 4, Commercial, Indore, Madhya Pradesh, 452001 State Code, 23 GSTINIUIN. 23AAVCS8021P1ZN PANNO . AAVCS8021P Customers Reference Dato | Contact ‘SWAPNIL PATIL 4511608151 23.08.2022 | IN SHS AP IND CS OP SLG | Phone +91 | Fax +91 Tncoterme2010 Srl Diag. Put. Ltd. (Old Sehore Rd. Robert Nursing Home, +91 97130 19781 5 Indore, Madhya Pradesh, 452001 State Code. 23 23AAVCS8021P1ZN gin lauantrytunie Unit Prico | Taxable Value | Tax CCurroney INR | _ Currency INR_|Curroncy INR. vo) 70882295 DE 1 448,535.65 | 448,535.85, Htorn | Description of Goods / Servicos 10662295 \cooling unit Dura 688-MV per 1 PC ALN ECCN:N, Service Notification Number 728106588811 Balch: 0007208681 Expiry Date: Delivery note SI7RC40180357.4 ata 25.08.2022 HSN/SAC CODE: 90229090 Integrated GST: 12.00 % 53,82430 tom Total 443,535.85 Total integrated GST: 53,824.30 Grand Total 502,360.15 Rupeos Five Lakh Two Thousand Three Hundrod Sixty & Palse Fiftech Only eres TRAINER TR stored office: Unit SA. Stn Floor, North Tower, Godre} One. Brrgshanagar, Castor Express Hiohtvay. Vikhvol East Mumbai 400070, Ini. Corporate Iden Number " UrsebonincaTsPrCz04009 ‘Tol rsp 800-208-1800 Contact e-mal he contact india@siemens-healthineers.com | Page A hesDetails of Consignor Siemens Healthcare Pvt. Ltd. j C-3, Shree Rejlaxmi Logistics Tax Invoice Thane, Maharashtra - 421302 GSTINIUIN : 27AAVCS8021P12F ae 1 State code :27 | invoice No.: MH3227707138 Details of Recipient (Bll to) | Exernce io, O88 2022 Siemens Healthcare Pvt. Ltd Customer No | Customer - Storage Loc. 4L82 1001 STatB21001 65762155 4th floor, Plot no Scheme no. 54, Kanadiya Road,, PU - 4, Commercial Indore, Madhya Pradesh, 452001 State Code. 23 GSTINIUIN. 23AAVCS8021P1ZN PAN NO. AAVCS8021P We have suppied from SHPL Logistics Senice Maharashlra To Recipier| stale Madhya Prdiesh and consigned the goods to Madhya Pradesh Under LR No. SANTOSH COURIER consignee. Sales Org: 5082, ‘These items are controlled by the U.S. Government (wher{labeled wth “EECN" unequal ’N") dd authorized fr efpor only to the county of ulimate destination for use by the ltmate condgnee or end-uspr(s) herein ientiey. They may nat be fescld, transferred. or otnervise dsposed of, to any other countryr to ary perso} ofner than the autforzed uitmate condionee or end-users), ether in ther orignal form or after being incofpoated into othr ems, without fs} obtaining approvalffom the U.S. rere a prowisesn fe agreement va oe cRaKgeRT on oferave aCcOunI Soo Once SURRIES WAT NOK Oe taken fack UNieES | soeciay agreed by us. Jesoe | jiemens Healthcare Private Limited | This documents digtaly sighed & | Interest as provided inthe agreement wil be charged on overdue accounts. Goods once supplied wil ot be taken back unless specialy agreed by us. | Siemens Heatncare Put, | Registered office: Unit @A, Stn Floor, North Tower, Godrej One, Bagisanagar, seater Expres ghey, VAtvol East Mena’ 400079, ina Covpaats dry Number: UraevontcoT GP 1Czbs009 tree: $800 200-1800) ntact e-mail he_ contact india@siemens-healthineers.com TNotce: Complance with legal and internal regulations is an integral part ofall business processes at Siemens, 1 Possible infingements can be reported fo our Helpdesk "Tell us" at uuu siamans comfaLis1.EWAY BILL Details fay Bit No: 22147267 3588 Generated Date: 28/08/2022 03:35 PM Generated By 27AAV C8802 1PIZF Vi Upto: Not Valid for Movernent a8 PartB is not entered Mode ‘Approcmate Distance: S47km ‘ype Outward - Supply Document Oetats Tax Invoice - 3227707138 26/08/2072 Transacton Type Regular 2. Address Details From ea SON cE ‘Gen: aTAAY C802 TPHaF ‘gr: anny comme tL (3 Stee Rajon Logics | eo | L 3. Goods Det [HSN cous Product Namo & Description ‘uantty “Taxable Amount(Rs)—‘Taxrate (crsviscessvces Adve) 90228080 10852295 & cooing unt Dua 8-V 448,595.85 ‘ovori2v0¥0 Tota Taxable Amount & 448,695.85 CCST Ameunt? 000 SGST Amount 20.00 GST Amount® 53.6249 CESS Amount #000, (CESS Nom Aol amount 20.90 (Omar Amount #000 Teal inv Amount ¢ 5 02:260.15. 4 Transportation Details Transgrty I & Nam 27AEFPG2040012C & SANTOSH TRADERS. “Transporter DOC, No & Date 5. Vehicle Oetats oda) ese eee) From Entered Date Entered By oc No & Ot cewana———_‘muniveice ] ttaen tn tam) 4