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<!--ANNAgreement V1.0 (10-04-2026)-->
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id="pure"><xbrli:measure>xbrli:pure</xbrli:measure></xbrli:unit><xbrli:unit id="INRPerShare"><xbrli:divide><xbrli:unitNumerator><xbrli:measure>iso4217:INR</xbrli:measure></xbrli:unitNumerator><xbrli:unitDenominator><xbrli:measure>xbrli:shares</xbrli:measure></xbrli:unitDenominator></xbrli:divide></xbrli:unit><in-capmkt:NSESymbol contextRef="MainI">QMSMEDI</in-capmkt:NSESymbol><in-capmkt:NameOfTheCompany contextRef="MainI">QMS MEDICAL ALLIED SERVICES LIMITED</in-capmkt:NameOfTheCompany><in-capmkt:TypeOfAnnouncement contextRef="MainI">New</in-capmkt:TypeOfAnnouncement><in-capmkt:TypeOfAgreement contextRef="MainI">Shareholder agreements</in-capmkt:TypeOfAgreement><in-capmkt:StageOfAgreement contextRef="MainI">Execution of agreement</in-capmkt:StageOfAgreement><in-capmkt:AgreementsEnteredIntoBy contextRef="MainD">Others</in-capmkt:AgreementsEnteredIntoBy><in-capmkt:DetailsOfOtherAgreementsEnteredIntoBy contextRef="MainD">Saarathi Healthcare Private Limited, Conven Investment Holdings Pte., Impact Assets Pte. Ltd. Windy Investments Private Limited, Milky Investment and Trading Company, V I C Enterprises Private Limited, Mr. Mahesh Makhija.</in-capmkt:DetailsOfOtherAgreementsEnteredIntoBy><in-capmkt:WhetherEventOrInformationDisclosedIsAnOutcomeOfBoardMeeting contextRef="MainD">true</in-capmkt:WhetherEventOrInformationDisclosedIsAnOutcomeOfBoardMeeting><in-capmkt:DateOfOccurrenceOfEvent contextRef="MainI">2026-09-25</in-capmkt:DateOfOccurrenceOfEvent><in-capmkt:TimeOfOccurrenceOfEvent contextRef="MainD">15:50:00</in-capmkt:TimeOfOccurrenceOfEvent><in-capmkt:WhetherTheListedEntityIsPartyToTheAgreement contextRef="MainD">false</in-capmkt:WhetherTheListedEntityIsPartyToTheAgreement><in-capmkt:DateOfReport contextRef="MainI">2026-09-25</in-capmkt:DateOfReport><in-capmkt:DetailsOfExecutionOfAgreement contextRef="MainI">Shareholders’ Agreement</in-capmkt:DetailsOfExecutionOfAgreement><in-capmkt:WhetherProposedOrExecutedAgreementIsInNormalCourseOfBusiness contextRef="MainI">true</in-capmkt:WhetherProposedOrExecutedAgreementIsInNormalCourseOfBusiness><in-capmkt:ImpactOfAgreementOnManagementAndControlOfTheListedEntity contextRef="MainI">There is no impact on management and control of listed entity</in-capmkt:ImpactOfAgreementOnManagementAndControlOfTheListedEntity><in-capmkt:NumberOfPartiesToTheAgreement contextRef="MainI" unitRef="pure" decimals="0">7</in-capmkt:NumberOfPartiesToTheAgreement><in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement contextRef="D_PartiesOfTheAgreement1">CONVEN INVESTMENT HOLDINGS PTE. LIMITED</in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement><in-capmkt:NatureOfThePartiesOfTheAgreement contextRef="I_PartiesOfTheAgreement1">Counterparties to the agreement</in-capmkt:NatureOfThePartiesOfTheAgreement><in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted contextRef="I_PartiesOfTheAgreement1">NA</in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted><in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner contextRef="I_PartiesOfTheAgreement1">false</in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner><in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement contextRef="D_PartiesOfTheAgreement2">IMPACT ASSETS PTE. LTD.</in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement><in-capmkt:NatureOfThePartiesOfTheAgreement contextRef="I_PartiesOfTheAgreement2">Counterparties to the agreement</in-capmkt:NatureOfThePartiesOfTheAgreement><in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted contextRef="I_PartiesOfTheAgreement2">NA</in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted><in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner contextRef="I_PartiesOfTheAgreement2">false</in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner><in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement contextRef="D_PartiesOfTheAgreement3">WINDY INVESTMENT PRIVATE LIMITED</in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement><in-capmkt:NatureOfThePartiesOfTheAgreement contextRef="I_PartiesOfTheAgreement3">Counterparties to the agreement</in-capmkt:NatureOfThePartiesOfTheAgreement><in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted contextRef="I_PartiesOfTheAgreement3">NA</in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted><in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner contextRef="I_PartiesOfTheAgreement3">false</in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner><in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement contextRef="D_PartiesOfTheAgreement4">MILKY INVESTMENT AND TRADING COMPANY</in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement><in-capmkt:NatureOfThePartiesOfTheAgreement contextRef="I_PartiesOfTheAgreement4">Counterparties to the agreement</in-capmkt:NatureOfThePartiesOfTheAgreement><in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted contextRef="I_PartiesOfTheAgreement4">NA</in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted><in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner contextRef="I_PartiesOfTheAgreement4">false</in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner><in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement contextRef="D_PartiesOfTheAgreement5">V I C ENTERPRISES PRIVATE LIMITED</in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement><in-capmkt:NatureOfThePartiesOfTheAgreement contextRef="I_PartiesOfTheAgreement5">Counterparties to the agreement</in-capmkt:NatureOfThePartiesOfTheAgreement><in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted contextRef="I_PartiesOfTheAgreement5">NA</in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted><in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner contextRef="I_PartiesOfTheAgreement5">false</in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner><in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement contextRef="D_PartiesOfTheAgreement6">MR. MAHESH MAKHIJA</in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement><in-capmkt:NatureOfThePartiesOfTheAgreement contextRef="I_PartiesOfTheAgreement6">Counterparties to the agreement</in-capmkt:NatureOfThePartiesOfTheAgreement><in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted contextRef="I_PartiesOfTheAgreement6">NA</in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted><in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner contextRef="I_PartiesOfTheAgreement6">true</in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner><in-capmkt:NatureOfRelationshipOfTheAgreement contextRef="I_PartiesOfTheAgreement6">Mr. Mahesh Makhija is himself Promoter of Listed Entity who is a party to the Agreement</in-capmkt:NatureOfRelationshipOfTheAgreement><in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement contextRef="D_PartiesOfTheAgreement7">SAARATHI HEALTHCARE PRIVATE LIMITED</in-capmkt:NameOfPartiesOrCounterPartiesOfTheAgreement><in-capmkt:NatureOfThePartiesOfTheAgreement contextRef="I_PartiesOfTheAgreement7">Party entering into the agreement</in-capmkt:NatureOfThePartiesOfTheAgreement><in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted contextRef="I_PartiesOfTheAgreement7">1</in-capmkt:DetailsOfShareholdingInTheEntityWithWhomTheAgreementIsExecuted><in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner contextRef="I_PartiesOfTheAgreement7">true</in-capmkt:WhetherThePartiesToTheAgreementAreRelatedToPromoterOrPromoterGroupOrAssociateOrHoldingOrSubsidiaryOrGroupCompaniesOrDirectorOrKMPAndItsRelativesInAnyManner><in-capmkt:NatureOfRelationshipOfTheAgreement contextRef="I_PartiesOfTheAgreement7">Saarathi Healthcare Private Limited is a Wholly Owned Subsidiary of QMS Medical Allied Services Limited</in-capmkt:NatureOfRelationshipOfTheAgreement><in-capmkt:WhetherTheAgreementWouldFallWithinRelatedPartyTransactions contextRef="MainI">true</in-capmkt:WhetherTheAgreementWouldFallWithinRelatedPartyTransactions><in-capmkt:WhetherTheAgreementIsDoneAtArmsLength contextRef="MainI">true</in-capmkt:WhetherTheAgreementIsDoneAtArmsLength><in-capmkt:DateOnWhichAgreementWasEntered contextRef="MainI">2026-09-25</in-capmkt:DateOnWhichAgreementWasEntered><in-capmkt:PurposeOfEnteringIntoTheAgreement contextRef="MainI">The purpose of entering into the Shareholders’ Agreement is to define the mutual rights and obligations of the parties, and to set out the terms governing the relationship between Company and Conven Investment Holdings Pte. Limited, Impact Assets Pte. Ltd., Windy Investments Private Limited, Milky Investment and Trading Company, V I C Enterprises Private Limited, Mr. Mahesh Makhija and Saarathi Healthcare Private Limited and their relationship with the Company, following the consummation of the Scheme of Arrangement.</in-capmkt:PurposeOfEnteringIntoTheAgreement><in-capmkt:SignificantTermsOfTheAgreementInBriefSpecialRightsLikeRightToAppointDirectorsOrFirstRightToShareSubscriptionInCaseOfIssuanceOfSharesOrRightToRestrictAnyChangeInCapitalStructure contextRef="MainI">The Agreement sets out the inter-se rights and obligations of the Investors, the Promoter and the Company (Saarathi Healthcare Private Limited) upon the Scheme becoming effective. Key terms include: (a) board composition – the Investors (subject to minimum shareholding thresholds) and the Promoter shall each be entitled to nominate directors on the Board of the Company, along with Independent Directors as required under law; (b) affirmative vote (veto) rights of the Investors and the Promoter over specified reserved matters, including mergers/restructuring, related party transactions beyond specified thresholds, change in business, issuance of Equity Securities and appointment/removal of key managerial personnel; (c) pre-emptive rights for Shareholders on any fresh issuance of securities by way of preferential allotment; (d) non-disposal/lock-in restrictions on transfer of Equity Securities held by the Promoter and the Investors for 1 (one) year from the Closing Date; (e) mutual tag-along rights between the Promoter and the Investors on inter-se transfers to third parties; (f) business exclusivity obligations on the Promoter for 2 (two) years from the Closing Date; and (g) term and termination provisions linked to the Shareholders’ continued holding of Equity Securities in the Company.</in-capmkt:SignificantTermsOfTheAgreementInBriefSpecialRightsLikeRightToAppointDirectorsOrFirstRightToShareSubscriptionInCaseOfIssuanceOfSharesOrRightToRestrictAnyChangeInCapitalStructure><in-capmkt:WhetherThereIsAnyIssuanceOrTransferOfSharesToTheParties contextRef="MainI">true</in-capmkt:WhetherThereIsAnyIssuanceOrTransferOfSharesToTheParties><in-capmkt:ClassOfSharesIssuedOrTransferred contextRef="MainI">There is no cash consideration being discharged under the Scheme

Upon Part II of the Scheme becoming effective (as defined in the Scheme), and in consideration for the transfer and vesting of the Demerged Undertaking 1 from the Demerged Company 1 to the Resulting Company in terms of this Scheme, the Resulting Company shall, without any further application, act, deed, consent, instrument issue and allot on a proportionate basis its equity shares, credited as fully paid-up (the “Equity Shares of the Resulting Company”), to QMS Equity Shareholders as on the Record Date 1 in the following manner:
 
“1 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each in the Resulting Company for every 1 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each held in the Demerged Company 1”


Upon Part III of the Scheme becoming effective (as defined in the Scheme), and in consideration for the transfer and vesting of the Demerged Undertaking 2 from the Demerged Company 2 to the Resulting Company in terms of this Scheme, the Resulting Company shall, without any further application, act, deed, consent, instrument issue and allot on a proportionate basis the Equity Shares of the Resulting Company (as defined in Clause 12.1), to: 

HCAH Equity Shareholders as on the Record Date 2 in the following manner:

“209 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each in the Resulting Company for every 3500 fully paid Class A Equity Share of INR 10/- (Indian Rupees Ten) each held in the Demerged Company 2” 

HCAH CCPS Holders as on Record Date 2 in the following manner:

“706 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each in the Resulting Company for every 3500 fully paid CCPS of INR 100/- (Indian Rupees Hundred) each held in the Demerged Company 2” 

HCAH Series A 0.0001% CCPS Holders as on Record Date 2 in the following manner:

“1267 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each in the Resulting Company for every 3500 fully paid Series A 0.0001% CCPS of INR 100/- (Indian Rupees Hundred) each held in the Demerged Company 2” 

HCAH Series B 0.001% CCPS Holders as on Record Date 2 in the following manner:

“997 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each in the Resulting Company for every 3500 fully paid Series B 0.001% CCPS of INR 100/- (Indian Rupees Hundred) each held in the Demerged Company 2” 

HCAH Class A 0.001% CCPS Holders as on Record Date 2 in the following manner:

“2942 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each in the Resulting Company for every 3500 fully paid Class A 0.001% CCPS of INR 100/- (Indian Rupees Hundred) each held in the Demerged Company 2” 

HCAH Class MW1 0.001% CCPS Holders as on Record Date 2 in the following manner:

“694 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each in the Resulting Company for every 3500 fully paid Class MW1 0.001% CCPS of INR 100/- (Indian Rupees Hundred) each held in the Demerged Company 2” 

HCAH Class MW2 0.001% CCPS Holders as on Record Date 2 in the following manner:

“694 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each in the Resulting Company for every 3500 fully paid Class MW2 0.001% CCPS of INR 100/- (Indian Rupees Hundred) each held in the Demerged Company 2” 

HCAH Class MW3 0.001% CCPS Holders as on Record Date 2 in the following manner:

“656 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each in the Resulting Company for every 3500 fully paid Class MW3 0.001% CCPS of INR 100/- (Indian Rupees Hundred) each held in the Demerged Company 2” 

HCAH RHJ 0.001% CCPS Holders as on Record Date 2 in the following manner:

“3,885 fully paid Equity Share of INR 10/- (Indian Rupees Ten) each in the Resulting Company for every 3500 fully paid RHJ 0.001% CCPS of INR 100/- (Indian Rupees Hundred) each held in the Demerged Company 2” .

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