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    <title>2025 (9) TMI 730 - AUTHORITY FOR ADVANCE RULING, TAMILNADU</title>
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    <description>AAR held that consultation and medicines supplied to out-patients do not constitute a composite supply; medicines/consumables dispensed to out-patients are independent, taxable supplies (not covered by the exempt healthcare composite) because out-patients may procure medicines elsewhere. By contrast, medicines/food issued to in-patients form part of the composite health-care supply and are covered by the exemption. Therefore supplies to out-patients must be treated and taxed separately (allowing separate invoicing), whereas in-patient supplies remain bundled with the healthcare service.</description>
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      <description>AAR held that consultation and medicines supplied to out-patients do not constitute a composite supply; medicines/consumables dispensed to out-patients are independent, taxable supplies (not covered by the exempt healthcare composite) because out-patients may procure medicines elsewhere. By contrast, medicines/food issued to in-patients form part of the composite health-care supply and are covered by the exemption. Therefore supplies to out-patients must be treated and taxed separately (allowing separate invoicing), whereas in-patient supplies remain bundled with the healthcare service.</description>
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