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SRL Diagnostics Bill of Supply

SRL Limited issued a bill of supply to Anurita Srivastava for expert opinion in histopathology services provided to Swati Srivastava. The bill details the recipient and shipment details, bill number, date, amount, payment details including bank account information, and signatures. It provides the date of service, client code, patient name, service rendered, rates, fees, and net amount of 3900 INR. Payment is due to SRL Limited through demand draft, cheque, RTGS, or NEFT to the specified bank account.

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Swati Mishra
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463 views1 page

SRL Diagnostics Bill of Supply

SRL Limited issued a bill of supply to Anurita Srivastava for expert opinion in histopathology services provided to Swati Srivastava. The bill details the recipient and shipment details, bill number, date, amount, payment details including bank account information, and signatures. It provides the date of service, client code, patient name, service rendered, rates, fees, and net amount of 3900 INR. Payment is due to SRL Limited through demand draft, cheque, RTGS, or NEFT to the specified bank account.

Uploaded by

Swati Mishra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SRL Limited, ORIGINAL FOR RECEPIENT

43/1,,Sardar Patel Marg, Civil Lines, ,,Allahabad211001India


State: UTTAR PRADESH State Code:09
BILL OF SUPPLY Phone: Fax:
Website: www.srl.in
GST No: 09AAACS2809J1ZA

Client Code .
Details of Recipient (Bill to) Details of Recipient (Ship to) C000081220

ANURITA SRIVASTAVA ANURITA SRIVASTAVA


Bill of Supply No Bill of Supply Date
NEAR POLICE CHOWKI, NEAR POLICE CHOWKI,
090020998881 14.01.2020

Bill of Supply Amount Page No.


ALLAHABAD 211001 ALLAHABAD 211001 3900.00 1 of 1
7985800938 India Uttar Pradesh 7985800938 India Uttar Pradesh
State: UTTAR PRADESH State Code:09 State: UTTAR PRADESH State Code:09
Place Allahabad State UTTAR PRADESH
GST No: GST No:

Date Accession # Client Code Patient Name HSN Code Service Rendered Basic Rate Fees Net Amt
------------ ---------------------------------------------------------------------------------------------------- ------------- -- ------------------------------------ -- ----------------------------- ----------------------- ----------------------
--- - - ----- ---- -
Client - C000081220 ANURITA SRIVASTAVA
14/01 0201TA002080 C000081220 SWATI SRIVASTAVA 7632 - EXPERT OPINION 6500.00 2600.00 3900.00
IN HISTOPATHOLOGY
WITH IH

----------------------------------------------------------------------------------------
CLNT WISE TOTAL: 6500.00 2600.00 3900.00

( Figures in :INR )
TOTAL: 6500.00 2600.00 3900.00
GRAND TOTAL: 3900
Contact Person:
MONISH SAGHIR

(Rs in Words)

Amount of tax to be paid under reverse charge NIL

Payment through Demand Draft/Cheque to be drawn in favour of "SRL Limited - HDFC Bank A/c No: 00600330000523"
If Payment is done through RTGS/NEFT, then Bank details of SRL Limited are as under :- PAN: "AAA CS 2809 J"
STC No: AAACS2809JST001
Beneficiary Name SRL Limited REGN.No: ST/MUM/D-III/TIC/179
Bank Account Number 00600330000523 CIN: U74899PB1995PLC045956

Bank Name HDFC BANK


Branch Code 0000060 Contents of the Invoice will be considered correct if no
Branch Name FORT, MUMBAI - 400023 errors are reported within 15 days of receipt of Invoice.
MICR No of Bank 400240015 To assure proper credit to your account please mention

IFSC No HDFC0000060 Client Code & Invoice No. on your Remittance.

ASM Name: NISHKARSH SRIVASTAVA


SUBJECT TO PUNJAB JURISDICTION
Signature of authorised representative
E.&O.E
REGD.OFFICE: Fortis Hospital, Sector 62, Phase # VIII, Mohali-160062

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