Account No: 1022604477 Invoice No: WDCGJ2221009128

Invoice Date: 04/10/2022 Billing Period

01/09/2022 to 30/09/2022

Tariff Plan: 1600GB CUL

Bill Mail Service Tax Invoice

TALUKA HEALTH OFFICER
TELEPHONE NUMBER DUE DATE
LODHIKA
19-10-2022
SUPRIDENDET GUATER NO-4 02827-244544
COMMUNITY HEALTH CENTER- AMOUNT PAYABLE
LODHIKA-DIST RAJKOT LODHIKA IN
LODHIKA-RAJKOT GSTIN R 1869.00
360035 Scan QR Code to make online
India Portal Payment
PAY NOW

ACCOUNT SUMMARY Deposit Amount: 1699.00

PREVIOUS BALANCE PAYMENT RECEIVED ADJUSTMENTS CURRENT CHARGES TOTAL DUE AMOUNT PAYABLE
{nNbr am{e (-) nyd© ^wJVmZ (+) g_m`moOZ (+) dV©_mZ ewëH (=) Hwb ~Mo (=) Xo` am{e
R 324.32 R 0.00 R 10.00 R 1534.62 R 1868.94 R 1869.00
Amount in Words: Rupees One Thousand Eight Hundred Sixty Nine and Zero Only

SUMMARY CHARGES USAGE HISTORY (6 MONTHS) Voice(Min)

Current Charges dV©_mZ ewëH {ddaU Amount R Data(GB)
Recurring Charges nwZamdVu ewëH 1299.00
One Time Charges EH ~ma ewëH 0.00
5 Min 20 GB
Usage Charges Cn`moJ n«^ma 0.00
Miscellaneous Charges {d{dY n«^ma 0.00 4 Min 16 GB

Discount NzQ 0.00

3 Min 12 GB
Tax Ha 235.62
Total Current Charges dV©_mZ exëH 1534.62 2 Min 8 GB

Tax Details
1 Min 4 GB
Tax Type Percentage Amount Taxable Value
CGST 9.00% 117.81 1309.00
SGST/UTGST 9.00% 117.81 1309.00 0 Min 0 GB
Mar'22 Apr'22 May'22 Jun'22 Jul'22 Aug'22
6 Paisa Cash Back Offer Amount 0.00

Dear Customer, Income Tax Department, Govt of India has granted certificate no. 197(1)/AABCB5576G/2022-23/1 Dt 22/06/2022 (can be downloaded from
https://bsnl.co.in/opencms/bsnl/BSNL/about_us/pdf/Certificate_197AABC_2022.pdf) to BSNL relating to TDS at lower rates applicable from 22/06/2022 to
31/03/2023. TDS may be recovered at the lower rates mentioned in the certificate issued by Income Tax Department.

BHARAT MULIYANA
boIm A{YH mar
For Billing related issues
0281-2364100

Scan QR Code to make UPI Payment

Dear Customer, We recommend you to pay the bill online using https://portal.bsnl.in/ or use My BSNL App on your mobile to avail our services 24*7.
My BSNL App is available on the Google Play Store. #Unite2FightCorona.

- PAYMENT SLIP - Invoice No WDCGJ2221009128

BHARAT SANCHAR NIGAM LTD Mode of Payment Invoice Date 04/10/2022

Cash Cheque/DD Credit/Debit Card Account No 1022604477

Phone No 02827-244544
Cheque/DD No. Dated Bank Branch
Due Date 19-10-2022
Please Charge Rs. Signature Amount Payable R 1869.00

Please make crossed Cheque/DD/Pay Order for Amount Payable (Rounded Up) in favour of AO (Cash), BSNL GMTD, RAJKOT. For Bank use only
This is a Computer generated Bill and does not require any Signature. Page 1 of 3
Account No:1022604477 | Invoice No:WDCGJ2221009128 | Invoice date:04/10/2022

WAYS TO PAY BILL

For online payment, log on to www.bsnl.co.in or Pay through My BSNL App.
Scan any QR Code on the bill Download My BSNL App to avail BSNL
services & making bill payments

Pay at any BSNL Customer Service

Pay at any Post Office on or before Due Date
Center (CSC's)

Drop your Cheque / DD at BSNL bill

Pay at any BSNL Retailer Outlet collection center

Pay your bill in time and save on late fee charges of 2% of billed amount (Min. Rs.10/-)

CUSTOMER CARE
l Dial Toll Free Number 1500 for (Landline/Broadband) from BSNL Numbers and 1800-345-1500 from all other Service Provider Numbers
l Dial Toll Free Number 1503 for (Mobile) from BSNL Numbers and 1800-180-1503 from all other Service Provider Numbers
l Dial 198 from BSNL numbers for Automatic Fault Booking
l Log on to web selfcare portal www.selfcare.bsnl.co.in
l Download My BSNL App to avail BSNL services & making bill payments

CUSTOMER INFORMATION

l Get the last bill details on your mobile, SMS BILL <Space><STDCODE-TEL.NO><Space><BILLING ACCOUNT NO> on 53334 from
nnnBSNL mobile and for Non BSNL Mobile on 9478053334
l Log on to www.bsnl.co.in for information on the tariff plans and prices
l For change of billing address, please contact your nearest customer care or AO (TR) / Commercial Officer of your exchange area
l If your mobile/landline is used for sending unsolicited commercial communication (UCC) through SMS or Voice, it leads to disconnection
nnnof your telecom resources and blacklisting for two years
l For contact details of Nodal Officer / Appellate Authority, tariffs and other information, visit our website www.bsnl.co.in
l Disputes if any, should be brought to the notice of concerned AO(TR) within 60 days

Supplier's Address: AGM PC, GM(Telecom) Ahmedabad Telecom, l GST Registration Number :24AABCB5576G1ZR l PAN Number:AABCB5576G
Admn Bldg, Gujarat Circle, Opp. Tulsi Vihar Society, l HSN/SAC Code:998412 l CIN:U74899DL2000GOI107739
Khanpur-380001, Gujarat

Page 2 of 3
 Account No:1022604477 | Invoice No:WDCGJ2221009128 | Invoice date:04/10/2022

DETAILS OF CURRENT CHARGES CURRENT CHARGE ANALYSIS

Adjustment
Adjustment Description Charges (Rs.)
Penalty For Late Payments Made-SAC-998412 10.00
r 1299.00
Total Charges (Rs.) 10.00

Plan : 1600GB CUL /

Phone No :02827-244544

Plan : 1600GB CUL / Upto 10 Mbps till 1600 GB, Upto 5 Mbps beyond/Unlimited r 235.62
Calls(LCL+STD)
r 10.00
Phone No :ta2827244544_wcdr
Recurring charges Usage Charges
Recurring Charges One Time Charges Adjustments

Product Plan Period Charges(Rs.) Miscellaneous Charges Tax

BROADBAND-SAC-998412 1600GB CUL 01/09/22 to 30/09/22 1299.00
Total Recurring Charges 1299.00

Usage Charges
Data Units Volume Gross Amt Disc Charges(Rs.)
BSNL Broadband 712368 0.68 GB 0.00 0.00 0.00
Total Usage Charges 0.00 0.00 0.00

Page 3 of 3