10/30/22, 10:34 AM about:blank

SALES INVOICE Original

Medifocus India Private Invoice No.

BLR- 0754/22-23 Entry Date
30/10/2022
Limited
DC No.
SDC0913/22-23 dt.29/10/2022
NO; 874, Raineo House (3rd Floor)
Buyer Order No. Dated
Modi Hospital Road, West of Chord
Road, Despatched through Despatch Document No.
Basweswar Nagar,
Bangalore -
560 079
Ph:
080-23224243 Destination Mode/Terms of Payment
GSTIN/UIN:
29AAECM6662R1ZJ
CIN:
x
E-Mail:
infoble@medifocusindia.com Shipping Address

shipping address same as above

Buyer
VASAVI HOSPITAL
No.15, 70th Cross,14th Main
1st stage Kumaraswamy Layout, Opp 15E Bus
Stop,

Bangalore,
560078,
(Karnataka )

GSTIN/UIN :
29AAATS3541G1ZH
, State Code :
29
SNo. Description of Goods HSN/SAC QTY Rate Per Amount
1 Introducer Sheath Catheter 7F/11CM 90183990 2 850.00 PC 1,700.00
Prod. Code: NT/IS/0711 Mfd: NEWTECH
MRP: 1,500.00
Batch :22071508 Exp-30/06/2025 Qty-2

Remarks : Basic Value 1,700.00

Patient Name- K Narmada Lakshmi, A/G-57Y/F, IP - IP22/351, Dr Rohith SGST Collected 102.00
Madhukar,
UHID-203842
CGST Collected 102.00
TCS Collected 0.00
Grand Total Rs. 1,904.00
Amount Chargable (in words)
One Thousand Nine Hundred And Four Rupee Only
Central Tax State Tax
HSN/SAC Taxable value GST Amount
Rate Amount Rate Amount
90183990 1,700.00 6% 102.00 6% 102.00 204.00
Total 1,700.00 102.00 102.00 204.00
Tax Amount (in words) : Two Hundred And Four Rupee Only
Drug License Nos                : KA-B42-1598670/20B, KA-B42-1598671/21B
Company's Service Tax No : 29AAECM6662R1ZJ
Company's PAN                  : AAECM6662R
Banker Name : BANK OF BARODA (CC a/c)
Account No. : 28730500000026 for Medifocus India Private Limited

BARB0CHENBS(fifth letter “0”

IFSC Code :
numerical)
90, Arya Gowda Raod,West Mambalam, Authorised Signatory
Branch Name :
Chennai-600033
Created Date :Oct 30 2022 10:33AM

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