| 5/26/2023 | 30067000 | ULTRASOUND - CARDIAC(PRODUCT CODE - 3900.1) | XXXXXXXXXX | 1 | NOS | 4.73 | USA | THAR DRY PORT ICDAHMEDABAD GUJARAT ICD |
| 5/26/2023 | 30067000 | ULTRASOUND GEL(PRODUCT CODE - 3900.019) | XXXXXXXXXX | 8 | NOS | 0.32 | USA | THAR DRY PORT ICDAHMEDABAD GUJARAT ICD |