Original Copy

Bill of Supply cum Receipt

LFS Healthcare Pvt. Ltd

5th Floor, Tower B, Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector-14, Gurgaon, Haryana - 122001

https://dash.droplet.net.in

care@droplet.net.in

GSTIN: 06AACCL9649R1ZL
Date: 20-02-2020
Serial no. of Invoice: LT19200200922152

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

Name: Manju Chakraborty Name: Manju Chakraborty

Address: 102/2, Debendra Chandra Dey Road Kolkata Address: 102/2, Debendra Chandra Dey Road Kolkata
700015, Kolkata, 700015 700015, Kolkata, 700015

State: State:

State Code: State Code:

GSTIN/Unique ID: GSTIN/Unique ID:

Lab test conducted by 1mg labs Pvt Ltd

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

1. Glucose - Postprandial Blood 999316 48.0
Invoice Total (In words): Forty-eight Total 48.0

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