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GOA ELECTRONICS LIMITED

Shrama Shakti Bhavan


Patto,Panaji
Deen Dayal Swasthya Seva Yojana

Transaction ID:200726011985 RECEIPT Payment Date :26-Jul-2020 7:33 pm

Reference No.: 188466 GSTIN: 30AAACG7029G1Z2


Name and Address of Party : RAMESH VAIGANKAR
H No.301 , Malbhat, Margao, Salcete-403601

Service : Deen Dayal Swasthya Seva Yojana (DDSSY) - Renewal

Base Amount: 254.24


CGST @9%: 22.88
SGST @9%: 22.88

Amount: 300.00/-

Amount in words : Rs. Three Hundred Only

RENEWAL OF DDSSY CARD NO :14000556 FOR POLICY PERIOD 01-SEP-2020 TO 31-AUG-2021

Paid By : RAMESH NARAYAN VAIGANKAR Payment Ref No.:109915064128


varunvaigankar098@gmail.com Payment Ref Date:26-Jul-2020 7:28:33 pm
9970630395

Bank Ref No: 202057336072762


Payment confirmation received on: 26-Jul-2020 7:33:32 pm
*** This is a computer generated receipt and requires no signature ***

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