File No:

Date: //

From:

To,

Systronics
P.C. Das Market, 1st floor, Near Flyover, A.T. Road, Guwahati-781001

Subject:

Ref:

 

FMR Code :

ITEM DETAILS & PRICE:

Item Name	Quantity	Rate(Exclussive of GST)	GST(%)	Total Amount(Incl. GST)	Delivery Destinations
Glucometer ( )	3	1.000	12	3.36	As per annexure B
Grand Total				3.36

Annexure A:

Sl	Item Name	Rate(Exclussive of GST)	GST(%)	Total quantity to be supplied	Total Amount	Delivery Destinations' Districts
1	Glucometer Make: Model: Warranty:	1.000	12	3	3.36

Memo No:

Date: //

Copy to:
1)