Tax Invoice

Subhag Healthtech Private Limited (Karnataka) Invoice No. Dated

1st Main, 105, 1St Cross, SHPL/23-24/314 6-Dec-23
Anjinappa Layout, Kothanur,
Post, Bengaluru,
Delivery Note Mode/Terms of Payment
Bengaluru (Bangalore) Urban
Bengaluru (Bangalore) Urban
GSTIN/UIN: 29AAZCS7220G1ZR Reference No. & Date. Other References
State Name : Karnataka, Code : 29
E-Mail : finance.subhag@gmail.com
Buyer’s Order No. Dated
Consignee (Ship to)
PREMPAN CHEMVET PHARMA Dispatch Doc No. Delivery Note Date
Ground Floor, Shop No.10, Amrutkalash
Building, Amba Mata Mandir Road, Sharda Dispatched through Destination
Niwas, Dhayri, Pune, Pune, Maharashtra,
GSTIN/UIN : 27ABAPO1274B1Z3 Terms of Delivery
State Name : Maharashtra, Code : 27

Buyer (Bill to)

PREMPAN CHEMVET PHARMA
Ground Floor, Shop No.10, Amrutkalash
Building, Amba Mata Mandir Road, Sharda
Niwas, Dhayri, Pune, Pune, Maharashtra,
GSTIN/UIN : 27ABAPO1274B1Z3
State Name : Maharashtra, Code : 27

Sl Description of Goods HSN/SAC Quantity Rate per Amount

No.

1 Androwash 84211910 1 PCS 16,949.15 PCS 16,949.15

2 SMART TUBE SPERM WASH KIT (WITH 90181400 10 PCS 625.00 PCS 6,250.00
MEDIA)

23,199.15
IGST Output @ 12% 12 % 750.00

continued ...

This is a Computer Generated Invoice

 Tax Invoice(Page 2)

Subhag Healthtech Private Limited (Karnataka) Invoice No. Dated

1st Main, 105, 1St Cross, SHPL/23-24/314 6-Dec-23
Anjinappa Layout, Kothanur,
Post, Bengaluru,
Delivery Note Mode/Terms of Payment
Bengaluru (Bangalore) Urban
Bengaluru (Bangalore) Urban
GSTIN/UIN: 29AAZCS7220G1ZR Reference No. & Date. Other References
State Name : Karnataka, Code : 29
E-Mail : finance.subhag@gmail.com
Buyer’s Order No. Dated
Consignee (Ship to)
PREMPAN CHEMVET PHARMA Dispatch Doc No. Delivery Note Date
Ground Floor, Shop No.10, Amrutkalash
Building, Amba Mata Mandir Road, Sharda Dispatched through Destination
Niwas, Dhayri, Pune, Pune, Maharashtra,
GSTIN/UIN : 27ABAPO1274B1Z3 Terms of Delivery
State Name : Maharashtra, Code : 27

Buyer (Bill to)

PREMPAN CHEMVET PHARMA
Ground Floor, Shop No.10, Amrutkalash
Building, Amba Mata Mandir Road, Sharda
Niwas, Dhayri, Pune, Pune, Maharashtra,
GSTIN/UIN : 27ABAPO1274B1Z3
State Name : Maharashtra, Code : 27

Sl Description of Goods HSN/SAC Quantity Rate per Amount

No.
IGST Output @ 18% 18 % 3,050.85

Total 11 PCS 27,000.00

Amount Chargeable (in words) E. & O.E
INR Twenty Seven Thousand Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
84211910 16,949.15 18% 3,050.85 3,050.85
90181400 6,250.00 12% 750.00 750.00
Total 23,199.15 3,800.85 3,800.85

Tax Amount (in words) : INR Three Thousand Eight Hundred and Eighty Five paise Only

Declaration for Subhag Healthtech Private Limited (Karnataka)

We declare that this invoice shows the actual price of
the goods described and that all particulars are true
and correct. Authorised Signatory

This is a Computer Generated Invoice