GST INVOICE

SPINE MED HEALTHCARE

No:432,East Street,
Vadakarai-612001,Thiruneelakudi Village,
Kmbakonam,Thanjavur District.
Phone. No : +919865977232,9787122323
E.mail: spinemedhealthcare@gmail.com

DL No: TJT/2934/20B,TJT/2358/21B GSTIN : 33BWLPK6476J1Z0 TIN No: 33536382063

SALAMA MEDICAL DISTRIBUTORS PVT LTD Invoice No : SM015 Invoice Date : 03/08/2017
DOOR NO:10A, Order No : 1 Due Date : 24/08/2017
MALAIKATTI STREET,
CHIDAMBARAM. Transport : Transport
GSTIN: 33AAICS9533K1ZY
D.L No: TRS/632/20B
D.L No: TRS/528/21B
TIN No: 33184461459

S.No. Product Name HSN B.No Mfr. Exp.Dt MRP P.T.R P.T.S QTY F/D/R GST Total
1 DOTAC-P 3004 TL6043C NAVK 11-18 99.00 77.78 70.00 40 0 12% 2800.00

Amount 2,800.00
AdditionalCharges 0.00
GST SGST Amount CGST Amount GST Amount
Less Discount 0.00
12% 6% 168 6% 168 336
Total Amount Before Tax 2,800.00
SGST 168.00
CGST 168.00
IGST 0.00
Grand Total 3,136.00
Indian Rupees : Three Thousand One Hundred and Thirty-Six Only
Declaration For SPINE MED HEALTH CARE
We declare that this invoice shows the actual price of the goods
described and that all particulars are true and correct. Authorised Signatory