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BILL OF SUPPLY

MEDPLUS HEALTH SERVICES LIMITED


CENTER ID : INTGHYD95213 CENTER NAME : GACHIBOWLI MEDPLUS DIAGNOSTIC CENTRE

CENTER ADDRESS : H.No.1-60/8,6/SM/2F, Sy No.136,Shop No.4,5,6, Sreshta Marvel - beside Dadus, Gachibowli,Serlingampally, Ranga Reddy Dist.Pin-500019.

Hyderabad.

GSTIN No & Address : 36AAECM9412H1ZF, H No 11-5-56, Survey No 257 and 258/1, Opp IDPL Railway siding, Moosapet,Kukatpally, Hyderabad,Telangana

State/State Code : TELANGANA/36 ,Phone : 04067006700

Reference Customer Order No : PTGOC2200105606 Bill Of Supply No : PTGLI2200103879

Reference SubOrder No : 228347 Bill Of Supply Date : 2023-01-12 14:23:58

Reference Customer Order Date : 2023-01-12 14:42:45 Customer ID : 35138087


Reference Doctor : SELF Patient Name / Age : SWAPNA POLASAPALLI / 25

SI.No HSN/SAC CODE Service Description RATE Disc.% Disc. Amount Net Amount

1 998990 CT Scan Whole Abdomen 9500.00 0 0 9500.00

Total Value (in figure) : 9500.00

Total Value (in words) : Rupees Nine Thousand Five Hundred

Mode of Receipt Amount(Rs.)

MDX 500.00

CREDIT CARD 9000.00

ORIGINAL FOR RECEIPT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER

E&OE

Note : 1. Reverse Tax Mechanism of on Service/products are not applicable.

CIN No : U85110TG2006PLC051845

CIN Address: 707, 7th Floor, 5-9-13, Taramandal Commercial Complex, Saifabad, Hyderabad, Telangana, India,

500004 Signature of Authorized Person

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