GST TAX INVOICE

A Square Traders Invoice No. Dated

Shop No # 3, Plot No # 41, Krishna Niwas 639/2023-24 14-Jun-23
Sir Balchandra Road, Dadar (East), Mumbai - 14 Delivery Note
DL No # MH-MZ2-345913 & MH-MZ2-345914
Tel No # 022-24179090 Reference No. & Date. Other References
Mobile No # 9870466794 / 8369886983
GSTIN/UIN: 27ADNPT9001G3Z8 Buyer’s Order No. Dated
State Name : Maharashtra, Code : 27
E-Mail : asquaretraders5@gmail.com Dispatch Doc No. Delivery Note Date
Dr. SN THORAD
Buyer (Bill to) Dispatched through Destination
Shree Hospital PAT # SUKHADEO BAGAL
Raikar Bhavan, Nr. Navaratna Hotel, Pedestrian Path,
Vashi Navi Mumbai - 400 703
State Name : Maharashtra, Code : 27
Sl Description of Goods HSN/SAC GST MRP/ Quantity Rate per Amount

No. Rate Marginal

1 OURO FEMORAL COMPONENT ( 90213100 5 % 49,219.00/Nos. 1 Nos. 45,000.00 Nos. 45,000.00

GOLD) SIZE: F-Right
Batch : 9311220008 1 Nos.
Expiry : 30-Nov-27
2 GENIUS TIBIAL INSERT SIZE: FGH-56 7 MM 90213100 5 % 12,133.00/Nos. 1 Nos. 10,631.00 Nos. 10,631.00
Batch : 2807230001 1 Nos.
Expiry : 31-Dec-27
3 OURO TIBIAL TRAY (GOLD) SIZE-5 90213100 5 % 30,847.00/Nos. 1 Nos. 28,203.00 Nos. 28,203.00
Batch : 9320220022 1 Nos.
Expiry : 28-Feb-28
4 Palacos R + G Cement - 40G Ref # 66057861 90213100 5 % 4,940.00/Nos. 1 Nos.
Batch : 64761208 1 Nos.
Expiry : 31-Oct-26
5 Surgical Gowns 90213100 5 % 650.00/Nos. 3 Nos. 350.00 Nos. 1,050.00
Batch : 334/2203 3 Nos.
Expiry : 28-Feb-2026
6 Clean Drape 90213100 12 % 80.00/Nos. 1 Nos. 50.00 Nos. 50.00
Batch : PS230312 1 Nos.
Expiry : 1-Feb-26
7 Stockinette 90213100 5 % 425.00/Nos. 1 Nos. 250.00 Nos. 250.00
Batch : 205/2202 1 Nos.
Expiry : 31-Jan-2026
8 Loban Large Ref # 6650 I-Oban 90213100 12 % 1,580.00/Nos. 1 Nos. 1,000.00 Nos. 1,000.00
Batch : 33MXKX 1 Nos.
Expiry : 1-Dec-24
9 Knee O Drape 90213100 5 % 1,200.00/Nos. 1 Nos. 1,000.00 Nos. 1,000.00
Batch : 201/220507 1 Nos.
Expiry : 30-Apr-2026
87,184.00
S-GST @ 2.50% ( Sales ) 2.50 % 2,153.36
C-GST @ 2.50% ( Sales ) 2.50 % 2,153.36
S-GST @ 6% ( Sales ) 6 % 63.00

continued to page number 2

SUBJECT TO MUMBAI JURISDICTION
This is a Computer Generated Invoice
 GST TAX INVOICE(Page 2)
A Square Traders Invoice No. Dated
Shop No # 3, Plot No # 41, Krishna Niwas 639/2023-24 14-Jun-23
Sir Balchandra Road, Dadar (East), Mumbai - 14 Delivery Note
DL No # MH-MZ2-345913 & MH-MZ2-345914
Tel No # 022-24179090 Reference No. & Date. Other References
Mobile No # 9870466794 / 8369886983
GSTIN/UIN: 27ADNPT9001G3Z8 Buyer’s Order No. Dated
State Name : Maharashtra, Code : 27
E-Mail : asquaretraders5@gmail.com Dispatch Doc No. Delivery Note Date
Dr. SN THORAD
Buyer (Bill to) Dispatched through Destination
Shree Hospital PAT # SUKHADEO BAGAL
Raikar Bhavan, Nr. Navaratna Hotel, Pedestrian Path,
Vashi Navi Mumbai - 400 703
State Name : Maharashtra, Code : 27
Sl Description of Goods HSN/SAC GST MRP/ Quantity Rate per Amount

No. Rate Marginal

C-GST @ 6% ( Sales ) 6 % 63.00

Total 11 Nos. 91,616.72

Amount Chargeable (in words) E. & O.E
Ninety One Thousand Six Hundred Sixteen INR and Seventy Two paise Only
Taxable Central Tax State Tax Total
Value Rate Amount Rate Amount Tax Amount

86,134.00 2.50% 2,153.36 2.50% 2,153.36 4,306.72

1,050.00 6% 63.00 6% 63.00 126.00
Total: 87,184.00 2,216.36 2,216.36 4,432.72

Tax Amount (in words) : Four Thousand Four Hundred Thirty Two INR and Seventy Two paise Only
Company’s PAN : ADNPT9001G
Declaration Company’s Bank Details
Bank Name : HDFC Bank Ltd.
1.Cheques should be drawn in favour of "A SQUARE
A/c No. : 50200045790935
TRADERS", please quote our invoice number while remitting
Branch & IFS Code : MATUNGA MUMBAI 400 019 & HDFC0000424
the payment.
2.The invoice price may be subject to discounts or rebate. for A Square Traders
3.The courts of Mumbai shall have exclusive jurisdiction to
settlement in case of any dispute.
Authorised Signatory
SUBJECT TO MUMBAI JURISDICTION
This is a Computer Generated Invoice