Tax Invoice (ORIGINAL FOR RECIPIENT)

TWO- M OPHTHOTRONICS PVT.LTD - 19-20 Invoice No. Dated

35 SATNAM INDUSTRIAL ESTATE 1365/2019-20 20-Nov-2019
NAGERWELL HANUMAN SBI BANK ROAD
AMRAIWADI , AHMEDABAD
Delivery Note Mode/Terms of Payment
PIN CODE - 380026
PHN : 079-22733725 Supplier’s Ref. Other Reference(s)
GSTIN/UIN: 24AAGCT6252Q1ZS
State Name : Gujarat, Code : 24
Suraj Hi Tech Chennai
Buyer’s Order No. Dated
Buyer
Dr. Bharathi Megur Despatch Document No. Delivery Note Date
Megur Eye Care Centre
Behind Anurag Theatre Despatched through Destination
Shanti Nagar, By Road Telangana
Zaheerabad-502220
Telangana Terms of Delivery
Phone :8884484202
State Name : Telangana, Code : 36

Sl Description of Goods HSN/SAC Quantity Rate per Amount

No.

1 OPERATION TABLE 94029090 1.000 NOS 63,560.00 NOS 63,560.00

With Stool
Mo-2012

OUTPUT IGST 18% 18 % 11,440.80

Less : ROUND OFF (-)0.80

Total 1.000 NOS 75,000.00

Amount Chargeable (in words) E. & O.E
INR Seventy Five Thousand Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
94029090 63,560.00 18% 11,440.80 11,440.80
Total 63,560.00 11,440.80 11,440.80

Tax Amount (in words) : INR Eleven Thousand Four Hundred Forty and Eighty paise Only

Company’s Bank Details

Bank Name : KOTAK MAHINDRA BANK
A/c No. : 7311999603
Branch & IFS Code : AHMEDABAD & KKBK0000811
Declaration for TWO- M OPHTHOTRONICS PVT.LTD - 19-20
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

 Tax Invoice (DUPLICATE FOR TRANSPORTER)

TWO- M OPHTHOTRONICS PVT.LTD - 19-20 Invoice No. Dated

35 SATNAM INDUSTRIAL ESTATE 1365/2019-20 20-Nov-2019
NAGERWELL HANUMAN SBI BANK ROAD
AMRAIWADI , AHMEDABAD
Delivery Note Mode/Terms of Payment
PIN CODE - 380026
PHN : 079-22733725 Supplier’s Ref. Other Reference(s)
GSTIN/UIN: 24AAGCT6252Q1ZS
State Name : Gujarat, Code : 24
Suraj Hi Tech Chennai
Buyer’s Order No. Dated
Buyer
Dr. Bharathi Megur Despatch Document No. Delivery Note Date
Megur Eye Care Centre
Behind Anurag Theatre Despatched through Destination
Shanti Nagar, By Road Telangana
Zaheerabad-502220
Telangana Terms of Delivery
Phone :8884484202
State Name : Telangana, Code : 36

Sl Description of Goods HSN/SAC Quantity Rate per Amount

No.

1 OPERATION TABLE 94029090 1.000 NOS 63,560.00 NOS 63,560.00

With Stool
Mo-2012

OUTPUT IGST 18% 18 % 11,440.80

Less : ROUND OFF (-)0.80

Total 1.000 NOS 75,000.00

Amount Chargeable (in words) E. & O.E
INR Seventy Five Thousand Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
94029090 63,560.00 18% 11,440.80 11,440.80
Total 63,560.00 11,440.80 11,440.80

Tax Amount (in words) : INR Eleven Thousand Four Hundred Forty and Eighty paise Only

Company’s Bank Details

Bank Name : KOTAK MAHINDRA BANK
A/c No. : 7311999603
Branch & IFS Code : AHMEDABAD & KKBK0000811
Declaration for TWO- M OPHTHOTRONICS PVT.LTD - 19-20
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

 Tax Invoice (TRIPLICATE FOR SUPPLIER)

TWO- M OPHTHOTRONICS PVT.LTD - 19-20 Invoice No. Dated

35 SATNAM INDUSTRIAL ESTATE 1365/2019-20 20-Nov-2019
NAGERWELL HANUMAN SBI BANK ROAD
AMRAIWADI , AHMEDABAD
Delivery Note Mode/Terms of Payment
PIN CODE - 380026
PHN : 079-22733725 Supplier’s Ref. Other Reference(s)
GSTIN/UIN: 24AAGCT6252Q1ZS
State Name : Gujarat, Code : 24
Suraj Hi Tech Chennai
Buyer’s Order No. Dated
Buyer
Dr. Bharathi Megur Despatch Document No. Delivery Note Date
Megur Eye Care Centre
Behind Anurag Theatre Despatched through Destination
Shanti Nagar, By Road Telangana
Zaheerabad-502220
Telangana Terms of Delivery
Phone :8884484202
State Name : Telangana, Code : 36

Sl Description of Goods HSN/SAC Quantity Rate per Amount

No.

1 OPERATION TABLE 94029090 1.000 NOS 63,560.00 NOS 63,560.00

With Stool
Mo-2012

OUTPUT IGST 18% 18 % 11,440.80

Less : ROUND OFF (-)0.80

Total 1.000 NOS 75,000.00

Amount Chargeable (in words) E. & O.E
INR Seventy Five Thousand Only
HSN/SAC Taxable Integrated Tax Total
Value Rate Amount Tax Amount
94029090 63,560.00 18% 11,440.80 11,440.80
Total 63,560.00 11,440.80 11,440.80

Tax Amount (in words) : INR Eleven Thousand Four Hundred Forty and Eighty paise Only

Company’s Bank Details

Bank Name : KOTAK MAHINDRA BANK
A/c No. : 7311999603
Branch & IFS Code : AHMEDABAD & KKBK0000811
Declaration for TWO- M OPHTHOTRONICS PVT.LTD - 19-20
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