ADDRESS Invoice No. Dated:
Delivery Note Chal1an No .
Suppl1er's Ref. Other Reference(s)
Buyer's Order No . Dated :
Sri Narayani Hospital, Despatch Document No. Dated
Vellore -632055 Despatched through Destination
Description of Goods Quantity Unit Price Rs. AmountRs
2 Grand Total
Amount Chargeable (in words)
We declare that this Invoice shows the actual price of the goods
described and that all particulars are true and correct.
Terms & Conditions :
1. Payment should be made in favour of For COMPANY NAME
2. By demand draft payable at (Place)
3. All disputes are subjected to (Place ) Jurisdiction only.
4. If you have any question concerning this invoice call Authorised Signatory
Company Name & Phone Number