ORIGINAL FOR RECIPIENT

E-INVOICE
Subject to rule 54 section 31 DUPLICATE FOR TRANSPORTER

(An ISO 9001 & ISO 13485 Certified Company) TRIPLICATE FOR SUPPLIER

BIORAD MEDISYS PVT. LTD.

Survey No.48/3 & 48/7, Sus-Pashan Road
Sus Village, Taluka-Mulshi,
Pune-411021, Maharashtra India
GST No.: 27AABCB5041J1ZU
LIC. No. : MFG/MD/2023/000198, Issue Dt: 10/03/2023 Class A or B
MFG/MD/2023/000199, Issue Dt: 10/03/2023 Class A or B
MFG/MD/2018/000012, Issue Dt: 10/08/2018 Class C or D
DL No. : NA
CIN No. : U33111MH200PTC265335
IEC No. : 0700014721
GST Range : RANGE-I GST Division : DIVISION II GST Commissionerate : MUMBAI-EAST

NAME OF RECEIVER (BILLED TO) E-INVOICE DETAILS

LOKMANYA HOSPITALS FOR SPECIAL SURGERY (LHSS) Invoice No. : 2411000183
VETAL BABA CHOWK, SENAPATI BAPAT ROAD, SHIVAJI COOPERATIVE HOUSINGN PUNE - Invoice Date : 25.12.2024
411016 Category : B2B
State : Maharashtra (27) India ACK No. : 122410101953939
:Contact Person : Sujit K ACK Date : 2024-12-25 16:47:31
Contact No. : 020-66667718 Tender No. : NA
Email ID : billing.hss@lokmanyahospitals.in
GST No. : 27AABCL6959M1ZT
Drug Lic. No. : MH-PZ2-448374
PO No. : test- so
DETAILS OF CONSIGNEE (SHIPPED TO):
PO Date : 16.12.2024
LOKMANYA HOSPITALS FOR SPECIAL SURGERY (LHSS)
DC No. : 1800000405
VETAL BABA CHOWK, SENAPATI BAPAT ROAD, SHIVAJI COOPERATIVE HOUSINGN PUNE - DC Date : 25.12.2024
411016 No. of Boxes :
State : Maharashtra (27) India Mode of Transport : FEDEX EXPRESS
Contact Person : Sujit K
Contact No. : 020-66667718 Courier Docket No. : 12345
Email Id : billing.hss@lokmanyahospitals.in Place Of Supply : Maharashtra
GST No. : 27AABCL6959M1ZT
Drug Lic. No. : MH-PZ2-448374
IRN No. : 40a0b2d99b2e0579c0df27cc92f24e6457612883820f494f95

SR Product Description HSN Qty. Unit Rate Per Discount Taxable CGST % SGST % Total

No. Unit Unit Value Rate Amount Rate Amount Amount

SIGNATURE ACETABULAR LINER SIZE:54/36

1 Code : 8903209033546 | Bt.No. : 0000004803 90213100 1 PC 1,200.00 0.00 1,200.00 2.50 30.00 2.50 30.00 1,260.00
Mfg.D : 25.11.2024 | Exp.D :25.10.2029

GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

2 Code : 8903209024117 | Bt.No. : 0000006491 90213100 2 PC 10,631.00 0.00 21,262.00 2.50 531.55 2.50 531.55 22,325.10
Mfg.D : 25.11.2024 | Exp.D :25.10.2029

22,462.00 561.55 561.55 23,585.10

Total 3

Phone Number: +91-020-35000200 Email ID : biorad@bioradmedisys.com Website: www.bioradmedisys.com Page 1 of 6

 E-INVOICE ORIGINAL FOR RECIPIENT

Subject to rule 54 section 31 DUPLICATE FOR TRANSPORTER

(An ISO 9001 & ISO 13485 Certified Company) TRIPLICATE FOR SUPPLIER

Customer Name : LOKMANYA HOSPITALS FOR SPECIAL

Invoice No. : 2411000183
Invoice Date : 25.12.2024

Assessable Value (Rs) : 22,462.00

NotificationNo.1/2017-CentralTax(Rate), dated28-06-2017,SI.No.: 218, as amended. TCS Amount (Rs) : 0.00

Notification No.1/2017-StateTax(Rate), dated29-06-2017,SI.No.:218, as amended. Discount Value (Rs) : 0.00

Notification No.05/2021 -CentralTaxdate08-03-2021as amended. Freight Charges (Rs) : 0.00

Tax Amount (Rs) : 1,123.10

Total Invoice Value (Rs) : 23,585.10

Total Invoice Value(In Words) : TWENTY THREE THOUSAND FIVE HUNDRED

EIGHTY FIVE RUPEES TEN PAISE ONLY

Terms & Condition: Remarks / Note:

The buyer's orders are subject to the seller's approval, who can accept or reject them without giving a Testing Testing
reason.Once accepted, orders cannot be canceled without written consent from the seller.
The prices for goods are based on purchase order terms and conditions ,where the seller's responsibility
ends when the goods are delivered at shipping address to the customer if freight cost is borne by seller.
Any other taxes now in force or hereafter be imposed on the sale, transportation or supply/delivery of the
goods shall be paid by the buyer or if directly paid by the seller shall be reimbursed to the seller by the buyer.
Goods once sold shall not be taken back or exchanged by the seller under any circumstances.
We reserve the right to demand payment of invoices before the due date. Failure to pay on time or any
breach of terms allows us to cancel orders or halt further deliveries without liability. Interest at 24%p.a.will be
charged on overdue invoices.
The buyer and seller hereto unconditionally and irrevocably agreed to submit to the exclusive jurisdiction of
the competent courts in Pune , Maharashtra only with regard to any question or matter arising out of the
invoice and any other documents executed between parties.
Buyer is required to adhere NPPA pricing regulations, as applicable.
Claim of any nature whatsoever will lapse unless raised in writing within 3 days of the date of invoice.

Registered Office:BIORAD MEDISYS PVT.LTD For, BIORAD MEDISYS PVT. LTD.

221, Damji Shamji Industrial Complex, 9, LBS Marg,
Kurla (West), Mumbai 400070 Maharashtra, India.
Tel : +91-22-42637000 | Fax: +91-22-25129294
CIN No.: U33111MH2000PTC265335. www.bioradmedisys.com
Email ID : Sales@bioradmedisys.com Authorized Signatory

Phone Number: +91-020-35000200 Email ID : biorad@bioradmedisys.com Website: www.bioradmedisys.com Page 2 of 6

 E-INVOICE ORIGINAL FOR RECIPIENT

Subject to rule 54 section 31 DUPLICATE FOR TRANSPORTER

(An ISO 9001 & ISO 13485 Certified Company) TRIPLICATE FOR SUPPLIER

Customer Name : LOKMANYA HOSPITALS FOR SPECIAL

Invoice No. : 2411000183
Invoice Date : 25.12.2024

Sales Order Pending Details

SO Date Product Code Product Description Order Dispatched Invoice Pending

No. Qty. Qty. No. Qty.

1300000004 17.12.2024 1000001202062 Box Cut with Saw Capture size-H

3 0 3

1400000091 05.11.2024 8903209070138 GENUIN FEMORAL COMPONENT SIZE: G-LH

10 0 10

1400000092 05.11.2024 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

5 0 5

1400000094 06.11.2024 8903209093076 OURO FEMORAL COMPONENT (GOLD) SIZE: D-RH

1 0 1

1400000095 06.11.2024 8903209093076 OURO FEMORAL COMPONENT (GOLD) SIZE: D-RH

1 0 1

1400000096 06.11.2024 8903209093076 OURO FEMORAL COMPONENT (GOLD) SIZE: D-RH

2 0 2

1400000097 06.11.2024 8903209093076 OURO FEMORAL COMPONENT (GOLD) SIZE: D-RH

3 0 3

1400000098 06.11.2024 8903209093076 OURO FEMORAL COMPONENT (GOLD) SIZE: D-RH

3 0 3

1400000105 07.11.2024 8903209093076 OURO FEMORAL COMPONENT (GOLD) SIZE: D-RH

1 0 1

1400000106 07.11.2024 8903209093076 OURO FEMORAL COMPONENT (GOLD) SIZE: D-RH

1 0 1

1400000107 08.11.2024 8903209093076 OURO FEMORAL COMPONENT (GOLD) SIZE: D-RH

1 0 1

1400000108 08.11.2024 8903209093076 OURO FEMORAL COMPONENT (GOLD) SIZE: D-RH

3 0 3

1400000111 11.11.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

2 0 2

1400000111 11.11.2024 8903209028078 GENIUS TIBIAL INSERT SIZE: FGH-56 7 MM

2 0 2

1400000123 13.11.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

1 0 1

1400000124 13.11.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

1 0 1

1400000125 13.11.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

1 0 1

1400000192 26.11.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

1 0 1

1400000210 26.11.2024 8903209070084 GENUIN FEMORAL COMPONENT SIZE: D-RH

2 0 2

1400000210 26.11.2024 8903209070190 GENUIN TIBIAL TRAY SIZE-3

3 0 3

1400000210 26.11.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

1 0 1

1400000233 27.11.2024 8903209070190 GENUIN TIBIAL TRAY SIZE-3

20 0 20

1400000235 27.11.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

2 1 1

1400000267 29.11.2024 8903209070084 GENUIN FEMORAL COMPONENT SIZE: D-RH

2 0 2

1400000273 29.11.2024 8903209093076 OURO FEMORAL COMPONENT (GOLD) SIZE: D-RH

1 0 1

1400000279 29.11.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

2 1 2411000081 1

1400000280 29.11.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

1 0 2411000082 1

1400000282 29.11.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

3 0 3

1400000304 03.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

2 0 2

1400000318 03.12.2024 8903209034055 AVT NX UNCEMENTED COATED STEM SIZE-5

150 0 150

1400000328 04.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

1 0 1

1400000328 04.12.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

1 0 1

1400000328 04.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

2 0 2

1400000329 04.12.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

1 0 1

1400000329 04.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

1 0 1

1400000342 04.12.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

2 0 2

1400000343 04.12.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

3 0 3

1400000343 04.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

6 0 6

1400000345 04.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

1 0 1

1400000345 04.12.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

 E-INVOICE ORIGINAL FOR RECIPIENT

Subject to rule 54 section 31 DUPLICATE FOR TRANSPORTER

(An ISO 9001 & ISO 13485 Certified Company) TRIPLICATE FOR SUPPLIER

Customer Name : LOKMANYA HOSPITALS FOR SPECIAL

Invoice No. : 2411000183
Invoice Date : 25.12.2024

Sales Order Pending Details

SO Date Product Code Product Description Order Dispatched Invoice Pending

No. Qty. Qty. No. Qty.

1 0 1

1400000346 04.12.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

1 0 1

1400000346 04.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

2 0 2

1400000360 05.12.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

3 0 3

1400000361 05.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

4 0 4

1400000361 05.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

6 0 6

1400000427 11.12.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

3 1 2411000118 2

1400000437 11.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

3 0 3

1400000438 11.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

3 0 3

1400000463 12.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

1 0 1

1400000482 14.12.2024 8903209032488 SIGNATURE ACETABULAR LINER SIZE:48/32

1 0 1

1400000483 16.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

1 0 1

1400000483 16.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

3 0 3

1400000483 16.12.2024 8903209070084 GENUIN FEMORAL COMPONENT SIZE: D-RH

1 0 1

1400000483 16.12.2024 8903209070084 GENUIN FEMORAL COMPONENT SIZE: D-RH

2 0 2

1400000483 16.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

2 0 2

1400000483 16.12.2024 8903209030569 SIGNATURE ACETABULAR CUP SIZE:56MM

2 0 2

1400000483 16.12.2024 8903209033522 SIGNATURE ACETABULAR LINER SIZE:52/36

4 0 4

1400000483 16.12.2024 8903209030569 SIGNATURE ACETABULAR CUP SIZE:56MM

2 0 2

1400000483 16.12.2024 8903209033522 SIGNATURE ACETABULAR LINER SIZE:52/36

1 0 1

1400000483 16.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

1 0 1

1400000483 16.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

2 0 2

1400000483 16.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

3 0 3

1400000483 16.12.2024 8903209034055 AVT NX UNCEMENTED COATED STEM SIZE-5

2 0 2

1400000483 16.12.2024 8903209033522 SIGNATURE ACETABULAR LINER SIZE:52/36

2 0 2

1400000483 16.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

3 0 3

1400000483 16.12.2024 8903209030569 SIGNATURE ACETABULAR CUP SIZE:56MM

1 0 1

1400000483 16.12.2024 8903209021369 SIGN FEM HEAD SIZE:36MM S (-4MM)

3 0 3

1400000483 16.12.2024 8903209070084 GENUIN FEMORAL COMPONENT SIZE: D-RH

3 0 3

1400000483 16.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

2 0 2

1400000483 16.12.2024 8903209033522 SIGNATURE ACETABULAR LINER SIZE:52/36

6 0 6

1400000483 16.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

2 0 2

1400000492 16.12.2024 8903209028115 GENIUS TIBIAL INSERT SIZE: FGH-56 11 MM

1 0 1

1400000553 24.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

2 0 2

1400000583 26.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

2 0 2

1400000591 27.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

2 0 2

1400000595 27.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

2 0 2

1400000597 27.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

2 0 2

1400000598 27.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

2 0 2

1400000599 27.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

 E-INVOICE ORIGINAL FOR RECIPIENT

Subject to rule 54 section 31 DUPLICATE FOR TRANSPORTER

(An ISO 9001 & ISO 13485 Certified Company) TRIPLICATE FOR SUPPLIER

Customer Name : LOKMANYA HOSPITALS FOR SPECIAL

Invoice No. : 2411000183
Invoice Date : 25.12.2024

Sales Order Pending Details

SO Date Product Code Product Description Order Dispatched Invoice Pending

No. Qty. Qty. No. Qty.

2 0 2

1400000600 27.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

1 0 1

1400000601 27.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

1 0 1

1400000602 27.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

1 0 1

1400000603 27.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

1 0 1

1400000604 27.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

1 0 1

1400000613 31.12.2024 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1400000613 31.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

3 0 3

1400000613 31.12.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

4 0 4

1400000627 03.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1400000628 03.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1400000630 03.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

3 0 3

1400000632 03.01.2025 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

5 0 5

1400000633 03.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

1 0 1

1400000639 03.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1400000641 06.01.2025 1000001202062 Box Cut with Saw Capture size-H

2 0 2

1400000644 06.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1400000647 06.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1400000648 06.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1400000649 06.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1400000650 06.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1400000651 06.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

3 0 3

1400000652 06.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

3 0 3

1710000019 18.11.2024 A1103014001 GENIUS INSTRUMENT SET-MODULAR/G2

1 0 1

1710000024 28.11.2024 L1000000512075 Mechanical Axis Alignment Rod Assembly

1 0 1

1710000035 27.12.2024 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1710000036 27.12.2024 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1710000038 03.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1710000039 06.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2

1710000040 06.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

4 0 4

1740000013 18.11.2024 A1103014001 GENIUS INSTRUMENT SET-MODULAR/G2

1 0 1

1740000018 28.11.2024 L1000000512075 Mechanical Axis Alignment Rod Assembly

1 0 1

1740000021 28.11.2024 L1000000512075 Mechanical Axis Alignment Rod Assembly

3 2 1

1740000023 28.11.2024 L1000000512075 Mechanical Axis Alignment Rod Assembly

1 0 1

1740000024 28.11.2024 L1000000512075 Mechanical Axis Alignment Rod Assembly

2 0 2

1740000028 10.12.2024 L1000000512075 Mechanical Axis Alignment Rod Assembly

1 0 1

1900000016 18.11.2024 1000000512075 Mechanical Axis Alignment Rod Assembly

1 0 1

1900000017 18.11.2024 1000000512075 Mechanical Axis Alignment Rod Assembly

1 0 1

1900000025 26.11.2024 8903209070084 GENUIN FEMORAL COMPONENT SIZE: D-RH

3 0 3

1900000025 26.11.2024 8903209070190 GENUIN TIBIAL TRAY SIZE-3

 E-INVOICE ORIGINAL FOR RECIPIENT

Subject to rule 54 section 31 DUPLICATE FOR TRANSPORTER

(An ISO 9001 & ISO 13485 Certified Company) TRIPLICATE FOR SUPPLIER

Customer Name : LOKMANYA HOSPITALS FOR SPECIAL

Invoice No. : 2411000183
Invoice Date : 25.12.2024

Sales Order Pending Details

SO Date Product Code Product Description Order Dispatched Invoice Pending

No. Qty. Qty. No. Qty.

5 0 5

1900000025 26.11.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

4 0 4

1900000025 26.11.2024 8903209033546 SIGNATURE ACETABULAR LINER SIZE:54/36

2 0 2

1900000030 27.12.2024 8903209024117 GENIUS TIBIAL INSERT SIZE: BCDE-34 11 MM

2 0 2

1900000034 03.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

1 0 1

1900000036 06.01.2025 8903209070114 GENUIN FEMORAL COMPONENT SIZE: F-LH

2 0 2