TAX INVOICE Page: 1 of 1

IRN: 18d36437e0c88df325355b0cb749e1bd71f4e66ad442b3ba492f8f79c5e0a594

INDIA MEDTRONIC PVT. LTD. Details of Recipient: 1297436 Details of Consignee: 1297436
Unit-1, Bombay Co-operative Industrial Oceanic Marketing Oceanic Marketing
Estate, Nari Seva Sadan Road , Sector 47-C Sector 47-C
Narayan Nagar, Ghatkopar (West) SCO No. 65, First Floor SCO No. 65, First Floor
Mumbai 400086, Maharashtra, India Chandigarh 160047, Chandigarh Chandigarh 160047, Chandigarh
D/L No: India Telephone: 098102-66678 India Telephone: 098102-66678
20B/MH-MZ3-261572&21B/MH-MZ3-261573 GSTIN: 04AAAPS1034J1Z2 GSTIN: 04AAAPS1034J1Z2
GSTIN:27AAACI4227Q1Z8 State Code: 04 Chandigarh State Code: 04 Chandigarh
D/L No: 4217-2011/OBW 20B, 4218-2011/OBW D/L No: 4217-2011/OBW 20B,
21B 4218-2011/OBW 21B
Place of Supply: Chandigarh

Invoice: 7110200329 Invoice Date: 27.05.2024 Our Order No: 6227094705 ZOR PO No: PO/OMP/24-25/013 PO Date: 26.04.2024
Payment Terms: Net 90 Days Ship via/ Carrier Name: OTHER AGNOSTIC Route Way Bill No: 58894157523 BD AIR Payer: 1297436 PAN: AAAPS1034J

Line Product ID Description of Goods/Services HSN/ Ship Unit Unit Price Taxable Value Integrated Tax Total Value (Rs.)
No SAC Qty (Rs.) (Rs.)
Rate Amt
(%)
1 77016 CANNULA 77016 ART ONE PIECE 16FR 5PK 17 9018 1 PK 21,446.00 21,446.00 12 2,573.52 24,019.52
(20763000091143) Batch No. 2023120784 UBD 14.12.2026 1 PK (1 PK = 5 EA) 3930
Total 21,446.00 2,573.52 24,019.52
Amount in words: 24,019.52 (Rs.) Rupees Twenty Four Thousand Nineteen And Paisa Fifty Two Only

HSN Code Tax Rate Taxable Value Tax Amount Total Amount
90183930 12.00 21,446.00 2,573.52 24,019.52

Whether Tax is payable on Reverse NO Amount of Tax Subject to Reverse Charge: - Authorised Signatory: (For INDIA MEDTRONIC PVT. LTD)
Registered Office: India Medtronic Pvt. Ltd., 1261, Solitaire CorporatePark, Building No.12, 6th floor, Andheri-Ghatkopar Link Road, Andheri(E), Mumbai-400093, Maharashtra.
Telephone No.+91-22 48810700/701, Fax No.+91-22 48810704, CIN:U33110MH1993PTC204814, PAN:AAACI4227Q and Website- www.medtronic.co.in
Please quote Medtronic invoice number for all payments and communication.
The prices stated on this invoice may be subject to additional rebate, credit or discount to which the Customer may be, or become, entitled if pre-agreed with Medtronic.
The customer is solely responsible for allocating, reporting and disclosing any such rebate, credit or discount in accordance with all applicable laws and regulations.