Magma HDI General Insurance Company Limited TAX INVOICE

EVEN-2955904
CIN MAGHLGP21234V022021
Unit No. 1B & 2B, 2nd Floor,
DATE
Equinox Business Park, Tower 3, LBS Marg,
Kurla (West), Mumbai, Maharashtra 400070 2023-08-22
India
GSTIN 29AAGCM1685C1ZF

BILL TO
Santosh Mudgal
Bengaluru, Karnataka
India

Place Of Supply: Karnataka (29)

# Service Qty Taxable value Product ID CGST SGST Total Amount incl. GST

1 MAGMA OPD 1 6,461.87 MAGHLGP21234V022021 9% 9% 7,625

PREMIUM
(Santosh Mudgal)

2 MAGMA IPD 1 9,859.02 MAGHLGP21234V022021 9% 9% 11,633

PREMIUM
(Santosh Mudgal)

Rounding off 0

Total 19,258

Payment Made 19,258

Balance Due 0.00

Notes:

Thanks for your business.

All disputes shall be subject to Bangalore, Karnataka jurisdiction.
As of the date of the invoice, the balance due has been fully paid to Even Healthcare Private Limited.

Authorized Signature