Tax Invoice

COSMOS PHARMA Invoice No. Dated

Room No. B, Shreenath Nagar Soc. 41 01.01.2022
Block No. 78, Opp. ST Bus stand, Junagadh Delivery Note Mode/Terms of Payment
GSTIN:24AAPFC2840M1Z8
E-Mail : service.cosmospharma@gmail.com Supplier's Ref.
Call-7990981978 GEM BID NO.-GEM/2021/B/1340004
BUYER DETAIL Buyer's Order No.
CHIEF DISTRICT MEDICAL OFFICER GP/ARO/TSA/REPAIRING/CALIBRATION/WO/16/10/21/1
JUNGADH Order Date
16/10/2021
GSTIN :24RKTD02649D1D3 Dispatch through Destination
JUNAGADH
GEM CONTRACT NO.- GEMC-511687744159312

Sl Description of Goods HSN/SAC Quantity Rate per GST RATE Amount

No.
1 ECG Calibration Rate 90189099 1 1650 SERVICE 18% 1650
2 ECG Cable 90189099 0 4081 PC 18% 0
3 ECG Bulb Electrode 90189099 0 71 PC 18% 0
4 ECG Clamp Electrode 90189099 0 175 PC 18% 0
5 ECG Printer board 90189099 0 10494 PC 18% 0
6 ECG Roller 90189099 0 1100 PC 18% 0
7 ECG Switch 90189099 0 141 PC 18% 0
8 ECG Power Adapter 90189099 0 1650 PC 18% 0
9 Switch Board 90189099 0 1050 PC 18% 0
10 Power Cord 90189099 0 141 PC 18% 0
11 ECG Service Charge 90189099 1 1650 SERVICE 18% 1650
12 Multipara Monitor Calibration Rate 90189099 0 2750 PC 18% 0
13 SPO2 Probe 90189099 0 1831 PC 18% 0
14 NIBP Hose Pipe 90189099 0 990 PC 18% 0
15 NIBP Cuff 90189099 0 440 PC 18% 0
16 ECG Lead Cable 90189099 0 2100 PC 18% 0
17 Fuse 90189099 0 11 PC 18% 0
18 FRC Cable 90189099 0 220 PC 18% 0
19 Switch 90189099 0 48 PC 18% 0
20 Power Cord 90189099 0 141 PC 18% 0
 21 Multipara Monitor Service Charge 90189099 0 2200 SERVICE 18% 0
22 Micro Pippet Calibration Rate 90189099 60 550 SERVICE 18% 33000
23 Micro Pippet Service Charge 90189099 60 330 SERVICE 18% 19800
24 Colorimeter Calibration Rate 90189099 6 550 PC 18% 3300
25 Halogen Lamp 90189099 0 409 SERVICE 18% 0
26 Color Filter 90189099 0 495 SERVICE 18% 0
27 Fuse 90189099 0 22 PC 18% 0
28 Power Cord 90189099 0 141 SERVICE 18% 0
29 Display 90189099 0 420 SERVICE 18% 0
30 Filter 90189099 0 700 PC 18% 0
31 Colorimeter Service Charge 90189099 6 550 SERVICE 18% 3300
32 Oxygen Concentrator Calibration Rate 90189099 0 1980 SERVICE 18% 0
33 Display 90189099 0 421 PC 18% 0
34 NRV Valve 90189099 0 1143 PC 18% 0
35 Motor 90189099 0 6996 SERVICE 18% 0
36 Hose tube 90189099 0 350 SERVICE 18% 0
37 Humidifier Bottle 90189099 0 233 PC 18% 0
38 Flow Indicator 90189099 0 880 PC 18% 0
39 Switch Board 90189099 0 1050 PC 18% 0
40 Flat Cable 4 PIN 90189099 0 75 PC 18% 0
41 Fuse 90189099 0 11 PC 18% 0
42 Knob 90189099 0 165 PC 18% 0
43 Power Cable 90189099 0 117 PC 18% 0
44 Hose Connector 90189099 0 758 PC 18% 0
45 power cord 90189099 0 141 PC 18% 0
46 fan 90189099 0 935 PC 18% 0
47 Oxygen Concentrator Service Charge 90189099 0 1100 SERVICE 18% 0

CGST 4782.20
SGST 4782.20
Rounded off 0.00

Total 62700.00
E.& O.E.

Amount (in words) :- Rs . Sixty Two thousand Seven Hundred rupees only.

Bank Details:
Bank Name-HDFC Bank, Junagadh
IFSC Code: HDFC0000231
Account No.-50200061197800 for SUPPLIER

Authorised Signatory