Original Copy

Bill of Supply cum Receipt

LFS Healthcare Pvt. Ltd

3rd Floor, Parsvnath Arcadia, Sector-14, Gurgaon - 122001

https://dash.droplet.net.in

care@droplet.net.in

GSTIN: 06AACCL9649R1ZL
Date: 19-12-2018
Serial no. of Invoice: LT18191200343043

Details of Receiver (Billed to) Details of Consignee (Shipped to)

Name: Sriharish Sorapalli Name: Sriharish Sorapalli

Address: 12-10-92222, BHARATH NAGAR COLONY Address: 12-10-92222, BHARATH NAGAR COLONY
Moosapet, Telangana, Moosapet, Hyderabad, 500018 Moosapet, Telangana, Moosapet, Hyderabad, 500018

State: State:

State Code: State Code:

GSTIN/Unique ID: GSTIN/Unique ID:

S. No. Description of Services HSN/SAC Code Taxable value

1. Personalised Health Checkup (includes 108 tests) 999316 1489.0
Invoice Total (In words): One thousand, four hundred and eighty-nine Total 1489.0

For LFS Healthcare Private Limited

Terms & Conditions

1. Interest 18% p.a. will be charged if the payment is not made

with in the stipulated time.
2. All disputes will be subject to Gurugram Jurisdiction only

CIN: U85100HR2015PTC057368

PAN: AACCL9649R

Authorised Signatory