Whether supply of medicines, surgical items, accomodation, food etc. provided to in-patients forms part of composite supply of Health Care Service?
TRT-2026-496

Issue Favourable to Tax Payer ?:- not applicable

Held - The two supplies do not answer to the description of being “naturally bundled and supplied in conjunction with each other in the ordinary course of business”. While they were not bundled together as a matter of fact, in the instant case, there is also no material to suggest that they are so bundled and supplied in conjunction with each other in “the ordinary course of business”. In fact, the business model followed by the petiti.....

TRT-2026-502

Issue Favourable to Tax Payer ?:- yes

Held - In the case at hand, the applicant being a hospital/ polyclinic undertakes services of diagnosis, treatment which comprises of providing bed/ ICU / room, nursing care, diagnostics including lab investigations and treatment surgical or otherwise under the directions of the Doctors. The hospital provides medicines, consumables, implants, etc. to the In-patients in the course of treatment on the directions of medical doctor for which the I.....

TRT-2026-501

Issue Favourable to Tax Payer ?:- yes

Held - The supply of medicines, drugs and other surgical goods from its pharmacy to in-patients are in the course of providing health care services which are naturally bundled and are provided in conjunction with each other, would be considered as '“Composite Supply” and eligible for exemption under the category “health care services"

As per SRO.No.371/2017 vide sl.no.74 (Notification No. 12/2017-CT (Rate) dtd, 28-06-2017), service.....

TRT-2026-497

Issue Favourable to Tax Payer ?:- yes

Held - In-house patients are admitted by the hospital to receive treatment from disease, illness, etc. Such patients are provided with stay facilities, medicines, consumables, implants, dietary food and other surgery items required for treatment. These patients receive medical facilities as per the scheduled procedure and have strict restrictions to ensure, the quality/quantity of items for consumption. These in-patients are provided medicines.....

TRT-2026-499

Issue Favourable to Tax Payer ?:- yes

Held - The in-patient services are classified as exempted service under the sub-group 9993 11. Patients are only admitted to a hospital when they are extremely ill or have severe physical trauma. As far as an inpatient is concerned, hospital is expected to provide lodging, care, medicine and food as part of treatment under supervision till discharge from the hospital. The nature of the various services in a bundle of services will help in dete.....