Bill of Supply cum Receipt Original Copy

TATA 1MG Technologies Pvt Ltd

2nd Floor, B-225, Okhla Industrial Area, Phase-1, New Delhi, South Delhi, Delhi, 110020

GSTIN: 07AAACZ8318D2ZB

Date: 15-08-2022
Serial no. of Invoice: L072223000175910

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

Name: Lokesh Singh Name: Lokesh Singh

Address: G249, G Block,Aya nagar, Near Saxsena Shop New Delhi, Address: G249, G Block,Aya nagar, Near Saxsena Shop New
110047 Delhi, 110047

State: Delhi State: Delhi

State Code: 07 State Code: 07

GSTIN/Unique ID: GSTIN/Unique ID:

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

S.No. Description Of Services HSN/SAC Code Taxable Value

1 Comprehensive Silver Full Body Checkup 999316 1530.0

Invoice Total (In Words): One Thousand, Five Hundred And Thirty Rupees Total
1530.0
Only

For TATA 1MG Technologies Pvt Ltd

Terms & Conditions

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

CIN: U74140DL2015PTC279229
Authorised Signatory
PAN: AAACZ8318D