TAX INVOICE

M-1

MED INDIA Invoice No. Dated

LG-8,9, Pankaj Central Market, 1372 24-Mar-2018
(Near Plato Public School) I.P.Extension,
Patparganj, NEW DELHI-110092. Delivery Note Mode/Terms of Payment
Drug.Lic. No. 36(1511)20,20B,21, 21B Dt 07.12.2009
Cont:011-43595610
GSTIN/UIN: 07ACPPS2439C1ZH Supplier's Ref. Other Reference(s)
State Name : Delhi, Code : 07
E-Mail : medindia.delhi@gmail.com
Buyer Buyer's Order No. Dated
Diya
001, Tower 4 Despatch Document No. Delivery Note Date
South Close Apt, S
Nirvana Country, Despatched through Destination
Sec-50,
Gurgaon - 122017
Mob- 08826479393 Terms of Delivery
Pres By- Dr. Rajni Sharma

Sl Description of Goods HSN/SAC Quantity Rate per Amount

No.
1 Norditropin Nordilet (SOMATROPIN)10mg/30iu Inj. 3004 3 pens 7,428.57 pens 22,285.71
Batch : GC70738 3 pens
Mfg Dt. : Jun-2017
Expiry : 31-May-2019
2 Disposable Novofine Needles 9018 20 NOS
Batch : 17E02X 20 NOS
Mfg Dt. : May-2017
Expiry : 30-Apr-2022
Price Is Included in the Product

22,285.71
IGST@ 5% 5 % 1,114.29

Total 23,400.00 RS
Amount Chargeable (in words) E. & O.E
Twenty Three Thousand Four Hundred Indian Rupees Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
3004 22,285.71 5% 1,114.29 1,114.29
9018 0%
Total 22,285.71 1,114.29 1,114.29
Tax Amount (in words) : One Thousand One Hundred Fourteen Indian Rupees and Twenty Nine paise Only

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

Customer's Seal and Signature for MED INDIA

Authorised Signatory
THIS IS A COMPUTER GENERATED INVOICE