PROFORMA INVOICE

EXPORTER: - Invoice Number Invoice Date Exporter IEC Code

ADVANCED HEALTH CARE RESOURCES 0508046131
F-36, 3rd Floor, Okhla Industrial Area e-Way Bill Number e-Way Bill Date LUT ARN Number
Phase-1, New Delhi-110 020. INDIA AD0704220040270
Tel:011-42486387, Mob: +91 98109 86387 Proforma Invoice Proforma Invoice Date P.A.N.
E-mail: pulselith@gmail.com 72/PER/E-AHCR/23-24 27/12/23 ABBPR8117P
www.pulselith.com Buyer Order# Buyer Order Date GSTIN Number
07ABBPR8117P1Z4
*Quality Equipment *Premium Service *Competitive Pricing Despatch Doc & Date Manufacture License MD 42 Registration Number
MFG/MD/2023/000918 RMD/DCD/HO/1438/4696 Dt:23/03/23
Consingee Buyer (if other then Consignee)
RUKO PREMIER
PARK 2 BLOCK AB NO 26
MODERNLAND CIKOKOL TANGERANG
INDONESIA
TEL: +66 21 2954 2543

Mode of Transport Final Destination Country of Origin of Goods Country of Final Destination
CARGO INDONESIA INDIA INDONESIA
Port Pre Carriage By Terms & Conditions: -
DELIVERY FOUR TO SIX WEEKS
Numbers of Weight of Package/Dimensions PAYMENT 100% AT THE TIME OF PLACING THE ORDER
Packages Weight Length Width Hight WARRANTY ONE YEAR AGAINST MANUFACTURING DEFECTS

Sr# Descriptions HSN Unit Rate Quantity Amount in

Code $

01 AMPLATZ SHEATH 24 FR ONLY 9018 1 4

02 AMPLATZ SHEATH 26 FR ONLY 9018 1 3
03 URS TRIPRONG 3FR - 70 CMS U HANDLE 9018 5 5
04 PCNL GRASPER 8F 40 CMS SCISSOR HANDLE 9018 3 3
05 PCNL GRASPER 9F 40 CMS SCISSOR HANDLE 9018 1 1
06 PCNL GRASPER 9 FR 40 CMS U HANDLE TRIPRONG 9018 1 1
07 PCNL GRASPER 9FR 40 CM U HANDLE ALLIGATOR JAW 9018 1 1
08 FLEXIBLE CYSTOSCOPY GRASPER 5FR 40 CMS 9018 1 3
09 BLUE TUBING OXYBLUE 001 9018 1 1
10 PROBE URS 0.8 MM 9018 1 5
11 PCNL PROBE 2MM 9018 1 3
12 PULSELITH PNEUMATIC LITHOTRIPTER HANDPIECE WITH TUBING 9018 1 4
13 SANTRON CONSOLE 9018 1 1
14 PATHFINDER URS 9018 1 15
15 BLADDER STONE SHEATH 9018 1 1
16 CYSTOSCOPY SHEATH 25 FR FOR BLADDER STONE SHEATH 9018 1 1
17 PCNL PROBES 1.5 MM SHORT FOR 9018 1 5
18 D J STENT 4.7 FR 26 CMS WITHOUT GUIDE WIRE WITH THREAD 9018 1 500
19 D J STENT 5 FR 26 CMS WITHOUT GUIDE WIRE WITH THREAD 9018 1 500
20 FASCIAL DIALATOR 7 FR 9018 1 50
21 FASCIAL DIALATOR 8 FR 9018 1 50
22 FASCIAL DIALATOR 9 FR 9018 1 50
23 PUNCTURE NEEDLE 18G 20 CMS 9018 1 50

Amounts in Words: TOTAL

US DOLLARS FIVE THOUSAND SIX HUNDRED AND SIXTY ONLY Less: Freight & Insu
Our Bank Details F. O. B.
Account Name : ADVANCED HEALTH CARE RESOURCES FREIGHT
A/c Number : 910020016238336 TOTAL
Swift Code : AXISINBB054 For ADVANCED HEALTH CARE RESOURCES
Bank Name/ : Axis Bank Ltd, 23/10, Shakti Nagar,
Address : New Delhi-11000, INDIA
Delcaration
We declare that this invoice shows the actual goods described and
that all particulars are true and correct.
AN ISO 13485 CERTIFIED COMPANY
SUBJECT TO DELHI JURISDICTION