Tax Invoice

DENT ART Invoice No. Dated

OPP- SRI SANKARA DENTAL COLLEGE 70 6-May-2019
SHOP NO :CPXII - 63
AKATHUMURI Delivery Note Mode/Terms of Payment
VARKALA
TRIVANDRUM - 695318
POISON LICENCE - 01-01/10/2018 Supplier’s Ref. Other Reference(s)
CONT :9747523893, 8281367893
GSTIN/UIN: 32AAJFD6429K1ZB
E-Mail : dentartvarkkala@gmail.com
Buyer’s Order No. Dated
Buyer
HOLY CROSS HOSPITAL Despatch Document No. Delivery Note Date
VELI SANGHUMUGHAM ROAD,
KANNANTHURA, TRIVANDRUM Despatched through Destination

Terms of Delivery

Sl Description of Goods HSN/SAC Quantity Rate per Amount

No.

1 PATIENT APROAN PKT OF 25 - DSPSBL 6210 2 PKT 240.00 PKT 480.00

2 ETCHING GEL - DEOR 3006 2 TUBE 120.00 TUBE 240.00
3 APPLICATOR TIP - PKT OF 100 1 PKT 170.00 PKT 170.00
4 SUCTION TIP 9018 2 PKT 160.00 PKT 320.00
5 R C CRESOL - DEOR 3006 1 PKT 100.00 PKT 100.00
6 MM TOP WITH HANDLE - API 9018 4 no 180.00 no 720.00
7 Dental Instrument Imp - Api 9018 2 no 150.00 no 300.00
8 GC GOLD LABEL 2 - LARGE 30064000 1 PKT 2,048.00 PKT 2,048.00

4,378.00
SGST 2.5% 2.50 % 12.00
SGST 6% 6 % 233.88

continued ...

This is a Computer Generated Invoice

 Tax Invoice(Page 2)

DENT ART Invoice No. Dated

OPP- SRI SANKARA DENTAL COLLEGE 70 6-May-2019
SHOP NO :CPXII - 63
AKATHUMURI Delivery Note Mode/Terms of Payment
VARKALA
TRIVANDRUM - 695318
POISON LICENCE - 01-01/10/2018 Supplier’s Ref. Other Reference(s)
CONT :9747523893, 8281367893
GSTIN/UIN: 32AAJFD6429K1ZB
E-Mail : dentartvarkkala@gmail.com
Buyer’s Order No. Dated
Buyer
HOLY CROSS HOSPITAL Despatch Document No. Delivery Note Date
VELI SANGHUMUGHAM ROAD,
KANNANTHURA, TRIVANDRUM Despatched through Destination

Terms of Delivery

Sl Description of Goods HSN/SAC Quantity Rate per Amount

No.
CGST 2.5% 2.50 % 12.00
CGST 6% 6 % 233.88
ROUN OFF 0.24

Total 4,870.00
Amount Chargeable (in words) E. & O.E
INR Four Thousand Eight Hundred Seventy Only
HSN/SAC Taxable Central Tax State Tax
Value Rate Amount Rate Amount
6210 480.00 2.50% 12.00 2.50% 12.00
3006 340.00 6% 20.40 6% 20.40
170.00 6% 10.20 6% 10.20
9018 1,340.00 6% 80.40 6% 80.40
30064000 2,048.00 6% 122.88 6% 122.88
Total 4,378.00 245.88 245.88

Tax Amount (in words) : INR Four Hundred Ninety One and Seventy Six paise Only

Company’s Bank Details

Bank Name : FEDERAL BANK
A/c No. : 12490200001534
Branch & IFS Code : VAKKOM & FDRL0001249
Declaration for DENT ART
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