ORIGINAL FOR RECIPIENT

IN - Service Customer Equipment Drug Licence Number:

STRYKER INDIA PVT. LTD. Drug Licence Expiry date:
KHEWAT NO.122,KHATA NO.157, MUSTAKIL NO.98,KILLA NO.6,7,8/1,13/1
SITUATED
AT VILLAGE BHONDSI GSTIN No: 06AAECS2513F1ZS
Gurgaon HAR 122102 State Code: 06 Haryana
PAN Number: AAECS2513F

Tax Invoice Page Number: 1

Invoice No: 18000017

Invoice Date: 11-01-2018
Billed to: Ship to:
ALPS HOSPITAL LIMITED ALPS HOSPITAL LIMITED
B BLOCK, SUSHANT LOK, PHASE 1 B BLOCK, SUSHANT LOK, PHASE 1
GURUGRAM GURUGRAM
HARYANA HARYANA
GURUGRAM HAR 122001 GURUGRAM HAR 122001
GSTIN No: 06AAACA6671N1ZE GSTIN No: 06AAACA6671N1ZE
State Code: 06 Haryana State Code : 06 Haryana
Drug Licence Number: 1416-B, 1416-OB; 12832-OW/H, 1 Drug Licence Number: 1416-B, 1416-OB; 12832-OW/H, 1
Drug Licence Expiry date: 22-02-2019 Drug Licence Expiry date: 22-02-2019

Place of Supply: GURUGRAM Place of Delivery: GURUGRAM

State of Supply: Haryana State of Delivery: Haryana

Customer PO Ref: Service PO No: 32895 Contract Detail

Payment Terms: 01-APR-17 TO 31-MAR-18
Inco Terms: .
OUR ORDER No: SE 22930751

Serial No Item/CAT No Item HSN Qty UQ Unit Dist Dist Net CGST SGST Total
Description Code C Price % Amt Price Rate Amt Rate Amt
CONTRACTENDO BT 01-OCT-17 TO 998719 1 Ea 155000.00 155000.00 9.00 13950.00 9.00 13950.00 182900.00
SCOPY 31-MAR-18

13950.00 13950.00

Amount in words: Rupees ONE LAC EIGHTY TWO THOUSAND NINE HUNDRED AND PAISE ZERO ONLY Total Value 182900.00

Regd Office: For on Behalf of

C-5,Safdarjung Development Area Commercial Complex Stryker India Pvt Ltd.
New Delhi-110016
CIN: U51505DL1999PTC100985

Whether amount is payable under RCM – NO Authorised Signatory

 DUPLICATE FOR TRANSPORTER
IN - Service Customer Equipment Drug Licence Number:
STRYKER INDIA PVT. LTD. Drug Licence Expiry date:
KHEWAT NO.122,KHATA NO.157, MUSTAKIL NO.98,KILLA NO.6,7,8/1,13/1
SITUATED
AT VILLAGE BHONDSI GSTIN No: 06AAECS2513F1ZS
Gurgaon HAR 122102 State Code: 06 Haryana
PAN Number: AAECS2513F

Tax Invoice Page Number: 2

Invoice No: 18000017

Invoice Date: 11-01-2018
Billed to: Ship to:
ALPS HOSPITAL LIMITED ALPS HOSPITAL LIMITED
B BLOCK, SUSHANT LOK, PHASE 1 B BLOCK, SUSHANT LOK, PHASE 1
GURUGRAM GURUGRAM
HARYANA HARYANA
GURUGRAM HAR 122001 GURUGRAM HAR 122001
GSTIN No: 06AAACA6671N1ZE GSTIN No: 06AAACA6671N1ZE
State Code : 06 Haryana State Code : 06 Haryana
Drug Licence Number: 1416-B, 1416-OB; 12832-OW/H, 1 Drug Licence Number: 1416-B, 1416-OB; 12832-OW/H, 1
Drug Licence Expiry date: 22-02-2019 Drug Licence Expiry date: 22-02-2019

Place of Supply: GURUGRAM Place of Delivery: GURUGRAM

State of Supply: Haryana State of Delivery: Haryana

Customer PO Ref: Service PO No: 32895 Contract Detail

Payment Terms: 01-APR-17 TO 31-MAR-18
Inco Terms: .
OUR ORDER No: SE 22930751

Serial No Item/CAT No Item HSN Qty UQ Unit Dist Dist Net CGST SGST Total
Description Code C Price % Amt Price Rate Amt Rate Amt
CONTRACTENDO BT 01-OCT-17 TO 998719 1 Ea 155000.00 155000.00 9.00 13950.00 9.00 13950.00 182900.00
SCOPY 31-MAR-18

13950.00 13950.00

Amount in words: Rupees ONE LAC EIGHTY TWO THOUSAND NINE HUNDRED AND PAISE ZERO ONLY Total Value 182900.00
Regd Office: For on Behalf of
C-5,Safdarjung Development Area Commercial Complex Stryker India Pvt Ltd.
New Delhi-110016
CIN: U51505DL1999PTC100985

Whether amount is payable under RCM – NO Authorised Signatory

 TRIPLICATE FOR SUPPLIER
IN - Service Customer Equipment Drug Licence Number:
STRYKER INDIA PVT. LTD. Drug Licence Expiry date:
KHEWAT NO.122,KHATA NO.157, MUSTAKIL NO.98,KILLA NO.6,7,8/1,13/1
SITUATED
AT VILLAGE BHONDSI GSTIN No: 06AAECS2513F1ZS
Gurgaon HAR 122102 State Code: 06 Haryana
PAN Number: AAECS2513F

Tax Invoice Page Number: 3

Invoice No: 18000017

Invoice Date: 11-01-2018
Billed to: Ship to:
ALPS HOSPITAL LIMITED ALPS HOSPITAL LIMITED
B BLOCK, SUSHANT LOK, PHASE 1 B BLOCK, SUSHANT LOK, PHASE 1
GURUGRAM GURUGRAM
HARYANA HARYANA
GURUGRAM HAR 122001 GURUGRAM HAR 122001
GSTIN No: 06AAACA6671N1ZE GSTIN No: 06AAACA6671N1ZE
State Code : 06 Haryana State Code : 06 Haryana
Drug Licence Number: 1416-B, 1416-OB; 12832-OW/H, 1 Drug Licence Number: 1416-B, 1416-OB; 12832-OW/H, 1
Drug Licence Expiry date: 22-02-2019 Drug Licence Expiry date: 22-02-2019

Place of Supply: GURUGRAM Place of Delivery: GURUGRAM

State of Supply: Haryana State of Delivery: Haryana

Customer PO Ref: Service PO No: 32895 Contract Detail

Payment Terms: 01-APR-17 TO 31-MAR-18
Inco Terms: .
OUR ORDER No: SE 22930751

Serial No Item/CAT No Item HSN Qty UQ Unit Dist Dist Net CGST SGST Total
Description Code C Price % Amt Price Rate Amt Rate Amt
CONTRACTENDO BT 01-OCT-17 TO 998719 1 Ea 155000.00 155000.00 9.00 13950.00 9.00 13950.00 182900.00
SCOPY 31-MAR-18

13950.00 13950.00

Amount in words: Rupees ONE LAC EIGHTY TWO THOUSAND NINE HUNDRED AND PAISE ZERO ONLY Total Value 182900.00
Regd Office: For on Behalf of
C-5,Safdarjung Development Area Commercial Complex Stryker India Pvt Ltd.
New Delhi-110016
CIN: U51505DL1999PTC100985

Whether amount is payable under RCM – NO Authorised Signatory