E - CHALLAN

Government of Bihar
BTC - 4

Valid Upto : 09/08/2021 Date : 25/07/2021 06:31:51 PM

GRN : BHR202107678956E
Department : Revenue and Land Reforms Department
Office Name : Patna, Ghoswari From :
Financial Year : 2017-2018 To :
Treasury : Barh :

ACCOUNT HEAD DETAILS PAY AMOUNT

R0029001010001-75-10-Bhu-Lagaan 90.00

R0029001030001-75-42-Bhu-Lagaan- Road Cess 48.28

R0029001030001-75-76-Bhu-Lagaan- Other Cess 67.58

R0029001030001-75-23-Bhu-Lagaan- Education Cess 24.14

Total Amount : Rupees Two Hundred Thirty Only 230.00

PAYER DETAILS
Tax ID (if any) :
Unique Id : ( )
Name : Nirmala Devi
Address : C-15, saketpuri road no-1, vijaynagar, hanuman nagar,
Kankarbagh.

PAYMENT DETAIL FOR USE IN RECEIVING BANK

BANK Name : SBI CIN REF No

Date & Time : 25/07/2021 07:07:33 PM

Branch :
Scroll No & Date :

Cut Here Cut Here Cut Here

BANK NAME SBI Pre Acknowledgement Payment (PAP) for Payment through any branch (BRANCH COPY)

Bank Reference Number Mode of Payment Cash Cheque/DD

Beneficiary Cash Notes Amount Rs Paise
GRN : BHR202107678956E 2000 x
Full Name : Nirmala Devi 500 x
Amount : 230.00 100 x
50 x

Cheque/DD No : 20 x

Date : 25/07/2021 07:07:33 PM 10 x

Drawee Bank : SBI
Drawee Branch : Total Rs

Branch Stamp Signature of Depositor

Branch Teller: Use SCR 008765 Deposit > Fee Collection > State Bank Collect