1.

GSTIN 29AADCH6446B1Z0
2. Name HealthifyMe Wellness Private Limited
3. Address ​No - 30, 80 Feet Road, HAL 3rd Stage,Indiranagar,
​ Bangalore – 560 075
4. Serial No. of Invoice 291129
5. Date of Invoice 26-05-2022

Details of Receiver (Billed to) Details of Consignee (Shipped to)

Name Dhruvi Shah Name Dhruvi Shah
Address - Address -
State Karnataka State Karnataka
State Code 29 State Code 29
GSTIN/Unique ID - GSTIN/Unique ID -

Description of Goods HSN/SAC Code Qty. Unit Rate Total Discount Taxable Value

Healthify Pro Plus- - 1 72000.0 72000.0 0.0 61016.0

1 year Plan
Total 72000.0 0.0 61016.0

CGST SGST IGST

Rate 0.0 0.0 18.0

Amt. 0.0 0.0 10982.8

Freight - Total Invoice Value(In figure) 72000.0

Insurance - Total Invoice Value(In Words) Seventy Two Thousand

Packaging and Forwarding charges - Amount of Tax subject to Reverse charges -

Declaration -

Signatory -

Electronic Reference Number HME344914/2022

Date 26-05-2022

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