, OFFICE: E 13/30, Shahu Nagar, pesminarion SNOOP U2 pare_OG| Jol BOURSUR ES tenn cast moa 17, new. lnc, e BARR Neil: 0107345227 - Ema sarkoshoouter@gralcom S3798~ aaa GSTIN : 27AEFPG234001ZC No. ‘ORIGIN ‘MUMBAI CONSIGNEE CHOC y : ; _SHPC Veale Bhiuanh! 4 [ee] aera AMOUNT or Gh to NTA RUDPEES 0) | No3sz0 FM ets Healthcare Pvt Charges 2 'M indi, Supply Chain Pye] yy SHIPPER COPY THANKS FOR USING SANTOSH eeeDetails of Consignor ‘Siemens Healthcare Pvt. Ltd C-3, Shree Rajlaxmi Logistics Thane, Maharashtra - 421302 GSTINIUIN : 27AAVCS8021P1ZF State code :27 Details of Recipient (Bill to) ‘Siemens Healthcare Pvt Lt. Sth Floor, Landmark Bidg, Ramdas Peth, Wardha Rd., Peth, Wardha Rd. Nagpur,, Maharashtra, 440010 State Code. 27 GSTINIUIN. 27AAVCS8021P1ZF PANNO . SIEMENS Healthineers « Delivery Challan Original / Duplicate Triplicate for Recipient for Transporter for Supplier Delivery Challan No: MH3227900180 Reference No Date 6913215103 04.10.2022 Customer No 744821071 ‘Customer's Reference Date 4511693534 04.10.2022 ‘Contact MAHESH RANE. IN SHS AP IND CS OP SLG Phone +91 Fax +91 Details of Gonsignee (Ship 0) Nilesh Salwe Lata Diagnostics Lata Diagnostics Mallelwar Bidg.Dhanora Rd.Nr Appalw +91 95791 77265 Gadchiroli, Maharashtra, 442605 State Code. 27 ‘ncoterms2020 ttom | Description of Goods Services. origin Tax curren Unit Price ‘currency INR. ‘Taxable Value ‘Currency INR lauantityinit INR 70) 11703580 111103530 iterpads_sp ALN ECON: N ‘Service Notification Number 728106654869 Batch: 0007220025. Expiry Date: Delivery note SI7RC4018202105 dtd 04.10.2022 HSN/SAC CODE: 64219900 State GST: 9.00 % Central GST: 9.00 % Item Total Tota State GST: ‘Total Central GST: Grand Total: Rupees Thirteen Thousand Six Hundred Seventy Seve} 11,591.49 11,591.49 per 1 PC 1083.23 1043.23, 11,501.49 1043.23 4083.23, 13,677.95 & Paise Niney Five Only TPT ‘Unit 9A, 8th Floor, North Tower, Godt} One, Be ices Fay Vital ae aa 40 Ina Corporate dei Noor UrsSUennso Pt CabAaoe Toit ree 1800-208 1000 al Contact exmait he contact india@stemens-nealthingers.com Pesiieragsn Som 0079, PageSIEMENS Details of Consignor Healthineers ° Si Health¢ Pvt. Ltd. iz ©-3, Shree Rajlnmi Logis Delivery Challan Thane, Maharashtra - 421302 GSTINIUIN : 27AAVCS8021P 1ZF State code :27 Dolvery Chain No; MH3227900160 Details of Recipient (Bill to) Boies 04'10.2022 ‘Siemens Healthcare Pvt Ltd padreaboi Sth Floor, Landmark Bldg, STaaBet0rs Ramdas Peth, Wardha Rd., Peth, Wardha Rd. Nagpur,, Maharashtra, 440010 State Code. 27 GSTINIUIN. 27AAVCS8021P 1ZF PAN NO We have supplied rom SHPL-Logisics Service Maharash)ra To Recipien| state Maharasht and consigned the Maharashiva Under LR No, BLUE.DART dt. 04.10.202P Which s enclbsed/ has been forded to the consi Sales Org: 5082, These tems are controlled by he U.S. Govemment (wher country of ulimate destination for use by the ultmate con [vansferred, oF otherwise disposed of, to any other country} /end-user(s), either in thei orginal form or after being i [Government or as otherwise authorized by US. law and national export authorization. Items without label or wih la require authorizaton from responsible authorities deper labeled with" 1") 4nd authorized for export only to the ized ulimate consignee or ‘Obiaining approvalfrom the U S. ual "N* ae subject to European / ‘other than the aut tems, without fi labeled with “AL” u IN of label “AL'4X9900"/“ECCN: 949999" may {Goods once suppl will not be taken back unless ‘Slomens Healthcare Private Linited This documents gta signed ‘Signer: Sudipta Mukherfoe Date: Thu, Got 6, 2022 19; ‘athoried Signatory Interest as provided in the agreement wil be charged on overdue accounts. Goods once supplied wil not be taken back unless specially agreed by us. we Fgabrcare Po gar tr xpress rig ioe Ege ia 400079, Corre cer Nimoer: UrssbowntsetoetGz64050 ae raae Contac! e-mal :he_ contact india@siemens-heslthinoers.com ‘Notice: Compliance with egal and intemal regulations Is an integral pat of all business processes at Siemens Possible nfingements can be reported to our Helpdesk “Tell us" at wa siemens comes Page ages