KALELKER SURGICAL INDUSTRIES

Page 1 of 2
AN ISO 9001:2015 CERTIFIED COMPANY - SALES & ADMIN. OFFICE :
6, Rosary Bldg., Opp. Canossa High School, M.M. Chotani Road,Mahim (West), Mumbai - 400 016.
Email : kalelker.surgical@gmail.com / kalelkersurgicals@yahoo.co.in,
www.kalelkersurgicals.com
Tel/Fax :022-2444 1042 / 2444 2644 / 2445 7030 / 2445 9714 / 2447 2112 / 2447 2113
GST No.-27AAHFK8844R1ZC
AAA HEATH CARE
Proforma No KSI/MM/PI/372F/1718
*Proforma Invoice*
MUMBAI
Proforma Date 20/12/2017
(A/C NAHAR HOSPITAL, JAIPUR)
Reference No HYDRO/HYSTERO
HYDROTUBATION / HYSTEROSALPINGOGRAPHY- Reference Date

Sr Rate Discount IGST

Item Code Description of Goods HSN Code Qty. Unit Total Taxable
No (per item) Rate Amt Rate Amt
Value

1 34.J013.00 Dilators, Uterine. Hegar. D/E. Set of 9. 9018.90.25 1 St 2,750.00 2,750.00 5.00 137.50 2,612.50 12.00 313.50
1/1.5--9/9.5mm:0.5mm. Diff. SS.
2 16.A105.20 Fcps., Allis. Tissue. 5x6Tth. 20cm/8" 9018.90.23 1 Pc 640.00 640.00 5.00 32.00 608.00 12.00 72.96
3 34.L323.25 Fcps., Vulsellum. Teale. 3x4 Tth., Cos. 25cm/10". 9018.90.23 1 Pc 860.00 860.00 5.00 43.00 817.00 12.00 98.04
4 17.E101.25 Fcps., Sponge. Big loop. Foerster. Str. 25cm/10". 9018.90.23 1 Pc 750.00 750.00 5.00 37.50 712.50 12.00 85.50
5 34.W235.25 Fcps., Uterine dressing.Serr. Bozemann.25cm/10". 9018.90.23 1 Pc 770.00 770.00 5.00 38.50 731.50 12.00 87.78
6 34.G012.32 Uterine Sound, Sims. Ald. Malleable. 32cm. 9018.90.25 1 Pc 475.00 475.00 5.00 23.75 451.25 12.00 54.15
7 34.A213.00 Speculum, Cusco. Side Screw. Std. SS.Large. 30mm x 9018.90.20 1 Pc 350.00 350.00 5.00 17.50 332.50 12.00 39.90
85mm.
8 34.A212.00 Speculum, Cusco. Side Screw. Std. SS.Medium. 28mm 9018.90.20 1 Pc 340.00 340.00 5.00 17.00 323.00 12.00 38.76
x 75mm.
9 18.V300.00 Retractor, Balfour. Adult. 20cm spread.with 9018.90.25 1 Pc 5,280.00 5,280.00 5.00 264.00 5,016.00 12.00 601.92
8cmDx3.5cmW. lateral blades. & 4.5cmDx8cmW.
Gvd.Cvd. Centre blade.
10 15.B201.20 Fcps., Artery. Sp-Wells. Str. 20cm/8". 9018.90.23 1 Pc 550.00 550.00 5.00 27.50 522.50 12.00 62.70
11 13.A221.15 Surgical/Dressing Scissors, BS. Str. 15cm/6". 9018.90.22 1 Pc 440.00 440.00 5.00 22.00 418.00 12.00 50.16
12 34.H312.10 Cannula, Collins/Leech Wilkinson. Threaded Cone. 9018.39.30 1 Pc 1,815.00 1,815.00 5.00 90.75 1,724.25 12.00 206.91
10mm. with Stopcock. Luer.

C.F Total
15,020.00 751.00 14,269.00 1,712.28
 KALELKER SURGICAL INDUSTRIES
Page 2 of 2
AN ISO 9001:2015 CERTIFIED COMPANY - SALES & ADMIN. OFFICE :
6, Rosary Bldg., Opp. Canossa High School, M.M. Chotani Road,Mahim (West), Mumbai - 400 016.
Email : kalelker.surgical@gmail.com / kalelkersurgicals@yahoo.co.in,
www.kalelkersurgicals.com
Tel/Fax :022-2444 1042 / 2444 2644 / 2445 7030 / 2445 9714 / 2447 2112 / 2447 2113
GST No.-27AAHFK8844R1ZC
AAA HEATH CARE
Proforma No KSI/MM/PI/372F/1718
*Proforma Invoice*
MUMBAI
Proforma Date 20/12/2017
(A/C NAHAR HOSPITAL, JAIPUR)
Reference No HYDRO/HYSTERO
HYDROTUBATION / HYSTEROSALPINGOGRAPHY- Reference Date

Sr Rate Discount IGST

Item Code Description of Goods HSN Code Qty. Unit Total Taxable
No (per item) Rate Amt Rate Amt
Value
B.F Total 15,020.00 751.00 14,269.00 1,712.28
13 34.H312.13 Cannula, Collins/Leech Wilkinson. Threaded Cone. 9018.39.30 1 Pc 1,815.00 1,815.00 5.00 90.75 1,724.25 12.00 206.91
13mm. with Stopcock. Luer.
14 34.H312.16 Cannula, Collins/Leech Wilkinson. Threaded Cone. 9018.39.30 1 Pc 1,815.00 1,815.00 5.00 90.75 1,724.25 12.00 206.91
16mm. with Stopcock. Luer.
15 34.D011.02 Speculum, Sims. Duckbill. SS. Medium. 9018.90.20 1 Pc 320.00 320.00 5.00 16.00 304.00 12.00 36.48
16 34.D011.03 Speculum, Sims. Duckbill. SS. Large. 9018.90.20 1 Pc 330.00 330.00 5.00 16.50 313.50 12.00 37.62

Total
19,300.00 965.00 18,335.00 2,200.20
Total Proforma Invoice Value(In Figure) INR 20,535.20
Total Proforma Invoice Value(In Words) INR Twenty thousand five hundred thirty-five and Paise twenty only
TERMS AND CONDITIONS
PAN : AAHFK8844R E.&O.E.
1. Our terms are final for all purposes.
2. Prices are Nett and Ex-godown,packing & forwarding extra. REGD. OFFICE:305,Shamaldas Gandhi Marg,Mumbai-400 002(INDIA)
3.Rates are valid for 35 days from the date of our offer.
BANKERS :BANK OF MAHARASHTRA, MAHIM,MUMBAI-400 016 For KALELKER SURGICAL INDUSTRIES
4. TAX: GST/Tax as applicable at the time of supply.
A/C No. 20039606734, IFS CODE : MAHB0000108
No GST/Tax shall be applicable if material is physically exported by us.
BANKERS :HDFC BANK, BANDRA WEST,MUMBAI-400 050
5. Payment: 100% of the order value as adjustable deposit.
A/C No. 04422000000855, IFSC CODE : HDFC0000442
6. Delivery : From stock, otherwise 4 to 16 weeks from the date of your order Authorised Signatory
7. All bank charges shall be to your account. SUBJECT TO MUMBAI JURISDICTION
8.Warranty: 12 (Twelve) months from the date of supply