Tax Invoice e-Invoice

IRN : f81cac5ec1e9914827250881be534b15b531b572c2e16-
8408bea5d6e3e1c1b11
Ack No. : 122420985427613
Ack Date : 12-Apr-24

Alinea Healthcare Pvt Ltd-Maharashtra 2023-24 Invoice No. Dated

Unit5,4th Floor,AWFIS,Skyline Icon LK/INV/2425/0002 12-Apr-24
Andheri-Kurla Road ,Chimatpada,Marol,Andheri East Delivery Note Mode/Terms of Payment
Mumbai, Maharashtra - 400059 30 Days
GSTIN/UIN: 27AAACS9480R2ZE Reference No. & Date. Other References
State Name : Maharashtra, Code : 27 LK/INV/2425/0002 dt. 12-Apr-24
Buyer (Bill to)
Buyer's Order No. Dated
HDFC Life Insurance Company Limited
13th Floor, Lodha Excelus, Dispatch Doc No. Delivery Note Date
Apollo Mills Compound, N. M. Joshi Marg,
Mahalaxmi, Mumbai - 400011
GSTIN/UIN : 27AAACH8755L1Z2 Dispatched through Destination
State Name : Maharashtra, Code : 27
Terms of Delivery

Sl Description of HSN/SAC Quantity Rate per Amount

No. Services
1 Medical Charges 998599 1,273 Count 1,389.73 Count 17,69,122.00
Feb 2024

Output CGST @ 9% 9 % 1,59,220.98

continued to page number 2

This is a Computer Generated Invoice
 Tax Invoice(Page 2)
Alinea Healthcare Pvt Ltd-Maharashtra 2023-24 Invoice No. Dated
Unit5,4th Floor,AWFIS,Skyline Icon LK/INV/2425/0002 12-Apr-24
Andheri-Kurla Road ,Chimatpada,Marol,Andheri East Delivery Note Mode/Terms of Payment
Mumbai, Maharashtra - 400059 30 Days
GSTIN/UIN: 27AAACS9480R2ZE Reference No. & Date. Other References
State Name : Maharashtra, Code : 27 LK/INV/2425/0002 dt. 12-Apr-24
Buyer (Bill to)
Buyer's Order No. Dated
HDFC Life Insurance Company Limited
13th Floor, Lodha Excelus, Dispatch Doc No. Delivery Note Date
Apollo Mills Compound, N. M. Joshi Marg,
Mahalaxmi, Mumbai - 400011
GSTIN/UIN : 27AAACH8755L1Z2 Dispatched through Destination
State Name : Maharashtra, Code : 27
Terms of Delivery

Sl Description of HSN/SAC Quantity Rate per Amount

No. Services

Output SGST @ 9% 9 % 1,59,220.98

Total 1,273 Count ₹ 20,87,563.96

Amount Chargeable (in words) E. & O.E
INR Twenty Lakh Eighty Seven Thousand Five Hundred Sixty Three and Ninety Six paise Only
HSN/SAC Taxable CGST SGST/UTGST Total
Value Rate Amount Rate Amount Tax Amount
998599 17,69,122.00 9% 1,59,220.98 9% 1,59,220.98 3,18,441.96
Total 17,69,122.00 1,59,220.98 1,59,220.98 3,18,441.96
Tax Amount (in words) : INR Three Lakh Eighteen Thousand Four Hundred Forty One and Ninety Six
paise Only
Company's Bank Details
A/c Holder's Name: Alinea Healthcare Pvt Ltd-Maharashtra 2023-24
Remarks: Bank Name : HDFC Bank-99925000000004
Being invoice raised for Medical charges |Case Count A/c No. : 99925000000004
-1273|Service Month: Feb-2024|Location:N/A|Ref No N Branch & IFS Code: HDFC0000592
/A| SWIFT Code :
Declaration for Alinea Healthcare Pvt Ltd-Maharashtra 2023-24
We declare that this invoice shows the actual price of the Digitally signed by Brian Fredericks
DN: c=IN, st=Maharashtra,

Brian Fredericks
2.5.4.20=17717b6c49a877ffc93dc9fd540aa8527ca072bf0a4ed7c4794f

goods described and that all particulars are true and 841d1d550886, postalCode=401107, street=Mira Bhayander Thane,
pseudonym=45d4d4fc420b4c8a868a4f684ea0a5d7,
serialNumber=fbab8d9d7736c1acb6fc5a133855ddf2f4e5d622fc6658

correct.
7054d62e22c37718d5, o=Personal, cn=Brian Fredericks
Date: 2024.04.12 18:36:55 +05'30'
Authorised Signatory
This is a Computer Generated Invoice