KALELKER SURGICAL INDUSTRIES

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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/372H/1718
*Proforma Invoice*
MUMBAI
Proforma Date 20/12/2017
(A/C NAHAR HOSPITAL, JAIPUR)
Reference No IUCD SET
IUCD SET- 1 SET 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 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
2 34.T123.23 Manipulator, Purandare. Vulsellum with Sound. 23cm/9". 9018.90.25 1 Pc 1,870.00 1,870.00 5.00 93.50 1,776.50 12.00 213.18
3 34.D011.01 Speculum, Sims. Duckbill. SS. Small. 9018.90.20 1 Pc 310.00 310.00 5.00 15.50 294.50 12.00 35.34
4 18.H805.23 Retractor, Doyen. 75mmWx55mmD. 9018.90.25 1 Pc 715.00 715.00 5.00 35.75 679.25 12.00 81.51
Gvd.Cvd23cm/9.25".
5 13.B131.14 Mayo Scissors, Str. 14.5cm/5.5". 9018.90.22 1 Pc 735.00 735.00 5.00 36.75 698.25 12.00 83.79
6 34.W122.28 Loop Introducer & Remover. Soonawala. 9018.90.20 2 Pc 420.00 840.00 5.00 42.00 798.00 12.00 95.76

Total
5,220.00 261.00 4,959.00 595.08
Total Proforma Invoice Value(In Figure) INR 5,554.08
Total Proforma Invoice Value(In Words) INR Five thousand five hundred fifty-four and Paise eight 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