Tax Invoice Order Id: OD121475936531933000 Invoice No: FA C13B2200001789 GSTIN: 06AAAFH2714A1Z8

Order Date: 08-04-2021, 11:17 P M Invoice Date: 10-04-2021, 09:00 AM P AN: AAAFH2714A
Sold By Shipping A DDRESS Billing A ddress
Hasmukh Agency, Ankur Dutta, Ankur Dutta,
Hadbast No. 143 ,Khasra No. 59//3/2, 4, 7, 8, 9, Ward No. 5, Dol Mukh, Gayen Gaon, Ward No. 5, Dol Mukh, Gayen Gaon,
10,11/3, 12, 13, 14, 17, 18, 19, 20, 21, 22, 23, 24, Sibsagar - 785640, IN-AS Sibsagar - 785640, IN-AS
61//1/2 min, 2, 3, 8 min, 9 min.,
situated in Revenue Estate of Pathreri,
GURGAON - 122100

Gross Taxable
Product Description Qty Discount IGST Total
A mount V alue
AC C U-C HEK Active Glucose Monitor with 10 Strips
HSN: 90189019 | IGST: 12% 1 1460.00 -0.00 1303.57 156.43 1460.00
Glucometer Black | 717
Shipping Charge 1 0.00 0 0.00 0.00 0.00
TOTA L PRICE: 1460.00
TOTA L QTY: 1
All values are in INR

Seller Registered Address: Hasmukh Agency,

88/89 ,1st floor, P and T Layout, Srigandadakaval, Sunkadakatte,, BANGALORE - 560091.
Declaration
The goods sold are intended for end user consumption and not for resale.

E. & O.E. Ordered Through

Hasmukh Agency
Authorized Signature