Balance Statement

Invoices till 11/01/2023 not paid as on 11/01/2023

DENTCARE DENTAL LAB PVT. LTD.

BGM000319 - SUPRIYA SHUKLA

Opening balance IN / CN : 0

Branch Bill Date Bill No Order SO Number Patient Name Product & Units Amount Settled Balance Amt Cumulative
Type Amount Balance

KER 03/09/2022 SA2200223026 SO 220420295 MULLA MULADI 03a. DENTCARE ZIRCONIA ULTRA PLUS 8,899.00 0.00 8,899.00 8,899.00
W/DIE-11 ,21 ,22
KER 06/09/2022 SA2200226778 SO 220420321 SUMAN KOTE 26 KEY & KEYWAY (M L S)-35 , 21 M L 7,487.00 0.00 7,487.00 16,386.00
S FULL METAL-35 , 19b. M L S FACING
CERAMIC METAL TRIAL FOR
LAYERING-35
KER 11/09/2022 SA2200232577 SO 220432358 SAIMA MUJAWAR 03a. DENTCARE ZIRCONIA ULTRA PLUS 2,966.00 0.00 2,966.00 19,352.00
W/DIE-21
KER 17/09/2022 SA2200241968 SO 220445036 SUMAN KOTE 19c. M L S FACING CERAMIC 1,874.00 0.00 1,874.00 21,226.00
LAYERING-33 ,34 ,35
KER 22/10/2022 SA2200288561 SO 220503684 SUNITA 264a. DENTCARE FLEX SEMI 3,140.00 0.00 3,140.00 24,366.00
RIGID-MONOMER FREE 2-3 TEETH
SETTING (LOWER)-35 ,36 ,46 , 264a.
DENTCARE FLEX SEMI
RIGID-MONOMER FREE 2-3 TEETH
SETTING (UPPER)-35 ,36 ,46
KER 01/11/2022 SA2200297935 SO 220516704 SUNITA 264b. DENTCARE FLEX SEMI 3,140.00 0.00 3,140.00 27,506.00
RIGID-MONOMER FREE 2-3 TEETH
ACRYLISING(LOWER)-35 ,36 ,46 ,
264b. DENTCARE FLEX SEMI
RIGID-MONOMER FREE 2-3 TEETH
ACRYLISING(UPPER)-35 ,36 ,46
KER 08/11/2022 SA2200307453 SO 220528502 SAMBRAMA 05a. DENTCARE ZIRCONIA PREMIUM 4,982.00 0.00 4,982.00 32,488.00
DASTIKOP PLUS CROWN/BRIDGE UP TO 6 UNIT-26
KER 09/11/2022 SA2200307897 SO 220523971 LATA NADONI 66a. DENTCARE NOVA GINGIVA 5,308.00 0.00 5,308.00 37,796.00
SMALL-22 , 34b. DENTCARE NOVA
LOOP CONNECTOR IN METAL-22 ,
27a.DENTCARE NOVA W/O DIE-22

37,796.00 0.00 37,796.00

After Adjusing Pending Cheques, If Any : 37,796.00

Trans. Date Party's Bank Submitted Bank Cheque Date Cheque No Cheque Amount
Receipts Pending Reconciliation Or Settlement : 30,824.00

Net Receivable : 6,972.00

Bank Account Details QR Code For UPI Payment*

Bank Name :ICICI Bank
Virtual Account No: DCJKBGM000319
(the first 7 digits are alphabet)
Branch : ICICI CMS
IFSC Code : ICIC0000104

*The Virtual Account Number and QR Code is unique for each customer . Kindly ensure to make payment only to the Virtual Account Number or QR code specified in your
respective invoice or Balance statement.

Printed by:SAP Business One Generated By : GREETY MATHEW Printed Date : 12/01/2023