TAX INVOICE

ROHANIKA Electronics & Medical Systems Invoice No. e-Way Bill No. Dated
C-49, Okhla Industrial Area Tl/21-22/531 7812 4485 4263 5-Mar-22
Okhla Phase 1 Delivery Note Modefferms of Payment
New Delhi -110020
DN/21-22/0338
GSTIN/UIN: 07AAGPB0185R1ZH
State Name : Delhi, Code : 07 Reference No. & Date. Other References
E-Mail : devdutt@rohanika.com
Buyer (Bill to) Buyer's Order No. Dated
The Commandant GEMC-511687738840908 28-Feb-22
Military Hospital, Jaipur, Pin - ~02006, Rajasthan Dispatch Doc No. Delivery Note Date
State Name Rajasthan, Code : 08 4-Mar-22
s
•I~....,_~"'
c..,_.~ o f upp Iy : Rajasthan Dispatched through Destination

Terms of Delivery

Description of Goods HSN/SAC Quantity Rate per Amount

: HFO Ventilator for Neonate 90192090 1 NO. 19,12,946.43 NO. 19,12,946.43

Model Fabian HFO, Brand Acutronic
SR NO -A/-02594
With Standard Accessories

IGST@12% (Output) 12 % 2,29,553.57

·~

Total 1 NO. f 21 ,42,500.00

Amount Chargeable (in words) E. & O.E
INR Twenty One Lakh Forty Two Thousand Five Hundred Only
HSN/SAC Taxable lnte rated Tax Total
Value Rate
- - - - - - - --;--;o------------ - - · - - - -
Amount Tax Amount
90192090 .1.~.12,946.43 12% _?,29,553."5"'7 2~29~553.57
-~---=--==-

Total 19,12,946.43 2,29,553.57 2,29,553.57

Tax Amount (in words) : INR Two Lakh Twenty Nine Thousand Five Hundred Fifty Three and Fifty Seven
paise Only

Company's Bank Details

Bank Name :AXIS BANK
Declaration Ale No. : 917020075530593
1. E & O.E Branch & IFS Code : Civil Line, New Delhi -110054 &UTIB000256~
2. Goods once sold will not be taken back. fm ROHANIKA Electron los & Me ~ s &41.
f:~
3. Interest @18% p.a will be charged on the outstanging,if
any, as per agreed terms. Q) ~-
-..;; Cl

\ .::?h '"" Delhi ~ J

4. Subject to Delhi Jurisdiction only.
Aut o_¢e
This is a Computer Generated Invoice \:;_·c\ ~ ~
yoJ:
'~ ,,
(..,J
-~·T
s\)}
...
'~~