Bill of Supply cum Receipt Original Copy

TATA 1MG Technologies Pvt Ltd

#607, Ground,1st,2nd & 3rd Floor, 80FT Road, 6th Block, Kormangala,Bangalore- 560095, Karnataka

care@1mg.com
www.1mg.com

GSTIN: 29AAACZ8318D1Z6

Serial no. of Invoice: L292223000283298 Invoice Date: 13-01-2023

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

Name: Tejus Name: Tejus

Address: D 1106,Sumadhura eden garden,1st Main Road Off Sai Baba Address: D 1106,Sumadhura eden garden,1st Main Road
Ashram Road, Doddabanahalli, Whitefield, Bengaluru, Karnataka 560067 Off Sai Baba Ashram Road, Doddabanahalli, Whitefield,
Bangalore, 560067 Bengaluru, Karnataka 560067 Bangalore, 560067

State: Karnataka State: Karnataka

State Code: 29 State Code: 29

GSTIN/Unique ID: GSTIN/Unique ID:

Lab test conducted by Tata 1mg Labs (Tata 1mg Technologies Private Limited)

S.No. Description Of PRODUCT HSN/SAC Code MRP

1 Comprehensive Silver Full Body Checkup 999316 3398

Total 3398

Less: Upfront Discount (Lab) -1019

Less: Coupon Discount (Lab) -0

Invoice Amount 2379

Invoice In Words: Two Thousand, Three Hundred And Seventy Nine Only

Upfront Discount (Platform) -680

Coupon Discount (Platform) -0

Neu Coins Utilised (Platform) -0

Payable By Customer 1699

For TATA 1MG Technologies Pvt Ltd

Terms & Conditions

1. Interest 18% p.a. will be charged if the payment is not made within the stipulated
time.
2. All disputes will be subject to Bangalore Jurisdiction only.

CIN: U74140DL2015PTC279229
Authorised Signatory
PAN: AAACZ8318D