GSTIN : 06DCQPS7972J1ZK Original for Recipient
TAX INVOICE
RAJAT ENTERPRISES
PLOT NO 123, ITM COLONY, SECTOR 23A, NEAR JANAM DIWAS PARK, GURUGRAM
HARYANA 122001
PAN : DCQPS7972J
email : rajatenterprisesggn@[Link]
Invoice No. : 791 Transport :
Dated : 22-07-2025 Vehicle No. :
Place of Supply : Haryana (06) Station : Gurugram
Reverse Charge : N E-Way Bill No. :
GR/RR No. :
Billed to : Shipped to :
OLYMPUS MEDICAL SYSTEM INDIA PVT LTD OLYMPUS MEDICAL SYSTEM INDIA PVT LTD
Tower C, GROUND FLOOR to FOURTH FLOOR Tower C, GROUND FLOOR to FOURTH FLOOR
SAS Tower, The Medicity Complex, Ch SAS Tower, The Medicity Complex, Ch
Bakhtawar Singh Marg, Sector 38 Bakhtawar Singh Marg, Sector 38
Gurugram, Gurugram, Haryana, 122001 Gurugram, Gurugram, Haryana, 122001
Party Mobile No : Party Mobile No :
GSTIN / UIN : 06AABCO2131L1ZO GSTIN / UIN : 06AABCO2131L1ZO
ORDER THROUGH MAIL
S.N. Description of Goods HSN/SAC Qty. Unit Price Amount( ` )
Code
1. BRU R & G COFFEE POLY 200GM 09019020 3.00 PKT 129.00 387.00
387.00
Add : CGST @ 2.50 % 9.68
Add : SGST @ 2.50 % 9.68
Grand Total 3.00 PKT ` 406.36
Tax Rate Taxable Amt. CGST Amt. SGST Amt. Total Tax
5% 387.00 9.68 9.68 19.36
Rupees Four Hundred Six and Paisa Thirty Six Only
Bank Details : Bank - Punjab National Bank, Branch - Udyog Vihara - 1, Gurugram
A/c No - 3862002101008926 Ifs Code PUNB0386200
Terms & Conditions Receiver's Signature :
E.& O.E.
1. Goods once sold will not be taken back.
2. Interest @ 18% p.a. will be charged if the payment for RAJAT ENTERPRISES.
is not made with in the stipulated time.
3. Subject to 'Haryana' Jurisdiction only.
Authorised Signatory