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: 21-03-2018
Serial no. of Invoice: LT21220701852691

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

Name: SAURABH KAUSHIK Name: SAURABH KAUHSIK

Address: DLF REGAL GARDENS SECTOR 90 TOWER H Address: DLF REGAL GARDENS SECTOR 90 TOWER H
FLAT 121, Gurgaon, Haryana, 122505 FLAT 121, Gurgaon, Haryana, 122505

State: Haryana State: Haryana

State Code: State Code:

GSTIN/Unique ID: GSTIN/Unique ID:

Lab test conducted by Thyrocare technologies Limited

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

1. Good Health Package With Full Body Checkup 999316 3000.0
Invoice Total (In words): One thousand and eighty-five Total 3000.0
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