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    <title>2018 (10) TMI 511 - AUTHORITY FOR ADVANCE RULINGS, KERALA</title>
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    <description>Medicines and allied items supplied by a hospital pharmacy to in-patients were treated as part of a composite health care service because they are provided during continuous medical supervision and remain integral to treatment until discharge; they are therefore not separately taxable. Medicines and allied items supplied to out-patients were treated differently because the prescription is advisory, the patient may procure goods elsewhere, and the pharmacy supply is an independent supply of goods rather than exempt health care service; such supplies are taxable.</description>
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