Government of India

e-Way Bill

1. E-WAY BILL Details

eWay Bill No:1216 0371 7365 Generated Date: 23/02/2023 04:54 PM Generated By:29AACCO1867C1ZH Valid Upto:06/03/2023 11:59 PM (Vehicle Type is REGULAR)

Mode: ROAD Approx Distance:2132km

Type:Outward - SUPPLY Document Details:Tax Invoice - TI/KA22-23/04687 - 23/02/2023 Transaction Type:Combination of 2 and 3

IRN:a9d22059b335ee97f1dd16182a423409364d0519cc511e84516b14916cd70ab9

Acknowledgement Number:112315442890826 Acknowledgement Date:23/02/2023 04:53 PM

2. Address Details

From To
GSTIN: 29AACCO1867C1ZH GSTIN: 08AAMCP6370P1ZJ
OFB Tech Private Limited_Karnataka PRECIZONCARE TECHNOLOGY PRIVATE LIMITED
Karnataka Rajasthan

:: Dispatch From :: :: Ship To ::

NO 14, BBMP PID NO 72-10-14,NEW PID NO 112-W0174-39,

751-2nd floor sector 47 gurgaon
STAGE II, PHASE III, SITUATED AT DOMLUR EXTENSION,
Gurugram
Karnataka, Karnataka - 560071
Haryana, Haryana - 122018

3. Goods Details

HSN Code Product Description Quantity Taxable Amount Rs. Tax Rate (C+S+I+Cess+Cess Non Advol)

12079100 Chia Seed Black 10.00 NOS 295.24 NE+NE+5.0+0.0+0.00

8135020 Mountain Trail Mix 30 gram 15.00 NOS 1004.46 NE+NE+12.0+0.0+0.00

8135020 Cashew Crunch Trail Mix 30 gram 15.00 NOS 1004.46 NE+NE+12.0+0.0+0.00

21061000 Indulge Energy Bars 35 gram 15.00 NOS 669.64 NE+NE+12.0+0.0+0.00

21061000 Arise Energy Bars 35 gram 15.00 NOS 669.64 NE+NE+12.0+0.0+0.00

21061000 Revitalize Energy Bars 35 gram 15.00 NOS 669.64 NE+NE+12.0+0.0+0.00

8021200 Raw Almond 50 gram 5.00 NOS 191.96 NE+NE+12.0+0.0+0.00

8021200 Irani Almond 250 gram 5.00 NOS 2767.86 NE+NE+12.0+0.0+0.00

8021200 Irani Almond 100 gram 10.00 NOS 2250.00 NE+NE+12.0+0.0+0.00

8021200 Irani Almond 50 gram 5.00 NOS 562.50 NE+NE+12.0+0.0+0.00

8042090 Dry Figs Regular 250 gram 5.00 NOS 2544.64 NE+NE+12.0+0.0+0.00

8042090 Dry Figs Regular 100 gram 10.00 NOS 2071.43 NE+NE+12.0+0.0+0.00

8042090 Dry Figs Regular 50 gram 5.00 NOS 517.86 NE+NE+12.0+0.0+0.00

8042090 Dices Figs 250 gram 5.00 NOS 1316.96 NE+NE+12.0+0.0+0.00

8042090 Dices Figs 100 gram 10.00 NOS 1089.29 NE+NE+12.0+0.0+0.00

8042090 Dices Figs 50 gram 5.00 NOS 272.32 NE+NE+12.0+0.0+0.00

 HSN Code Product Description Quantity Taxable Amount Rs. Tax Rate (C+S+I+Cess+Cess Non Advol)

12079990 Flax seed 50 gram 10.00 KGS 104.76 NE+NE+5.0+0.0+0.00

8013220 Cashew Premium 250 gram 5.00 NOS 2000.00 NE+NE+5.0+0.0+0.00

8013220 Cashew Premium 100 gram 10.00 NOS 1638.10 NE+NE+5.0+0.0+0.00

8013220 Cashew Premium 50 gram 5.00 NOS 409.52 NE+NE+5.0+0.0+0.00

8013220 Cashew Regular 250 gram 5.00 NOS 1185.71 NE+NE+5.0+0.0+0.00

8013220 Cashew Regular 100 gram 10.00 NOS 990.48 NE+NE+5.0+0.0+0.00

8013220 Cashew Regular 50 gram 5.00 NOS 247.62 NE+NE+5.0+0.0+0.00

8062010 Premium Raisins Yellow 10.00 NOS 609.52 NE+NE+5.0+0.0+0.00

12074090 Seeds Mix Roasted Trail Mix 100 gram 20.00 NOS 1428.57 NE+NE+12.0+0.0+0.00

12077090 Watermelon Seeds Raw 250 gram 5.00 NOS 619.05 NE+NE+5.0+0.0+0.00

9109990 Kashmiri Kesar (Saffron) 1 gram 5.00 OTH 1763.39 NE+NE+12.0+0.0+0.00

8023200 Walnut California Premium 100 gram 5.00 NOS 723.81 NE+NE+5.0+0.0+0.00

8023200 Walnut Kashmiri Premium 250 gram 5.00 NOS 1761.91 NE+NE+5.0+0.0+0.00

8023200 Walnut Kashmiri Premium 100 gram 10.00 NOS 1447.62 NE+NE+5.0+0.0+0.00

8023200 Walnut Kashmiri Regular 250 gram 5.00 NOS 1404.76 NE+NE+5.0+0.0+0.00

8023200 Walnut Kashmiri Regular 100 gram 10.00 NOS 1161.91 NE+NE+5.0+0.0+0.00

9103030 Haldi (Turmeric) 50 gram 10.00 NOS 1238.10 NE+NE+5.0+0.0+0.00

12119099 Makhana (Lotus Seeds) 50 gram 5.00 NOS 233.33 NE+NE+5.0+0.0+0.00

8135020 Cool Summer Trail Mix 30 gram 15.00 NOS 1004.46 NE+NE+12.0+0.0+0.00

12079990 Muskmelon seed Raw 50 gram 5.00 NOS 219.05 NE+NE+5.0+0.0+0.00

8025200 Pistachio Raw 100 gram 10.00 NOS 2071.43 NE+NE+12.0+0.0+0.00

8025200 Pistachio Raw 100 gram 5.00 NOS 2544.64 NE+NE+12.0+0.0+0.00

12119019 Pumpkin Seed Raw 50 gram 5.00 NOS 169.64 NE+NE+12.0+0.0+0.00

8062090 Raisins Blackseedless 10.00 NOS 428.57 NE+NE+5.0+0.0+0.00

8062090 Raisins Blackseedless 5.00 NOS 485.71 NE+NE+5.0+0.0+0.00

8062090 Raisins Blackwith Seeds 5.00 NOS 795.24 NE+NE+5.0+0.0+0.00

8062010 Raisins AfganiGreenseedless 10.00 NOS 800.00 NE+NE+5.0+0.0+0.00

8062010 Raisins AfganiGreenseedless 5.00 NOS 957.14 NE+NE+5.0+0.0+0.00

8062010 Raisins AfganiRed 10.00 NOS 952.38 NE+NE+5.0+0.0+0.00

8062010 Raisins AfganiRed 5.00 NOS 1142.86 NE+NE+5.0+0.0+0.00

19041010 Muesli 100 gram 15.00 NOS 1271.19 NE+NE+18.0+0.0+0.00

Total Taxable Amount ₹ CGST Amount ₹ 0.00 SGST Amount ₹ 0.00 IGST Amount ₹ 4511.65 CESS Amount ₹ 0.00
49708.37
CESS Non.Advol Amt ₹ 0.00 Other Amt ₹ -0.02 Total Inv. Amt ₹ 54220.00

4. Transportation Details
Transporter ID & Name: Transporter Doc & Date: &
5. Vehicle Details

Mode Vehicle / Trans From Entered Date Entered By CEWB No. Multi Veh.Info
Doc No & Dt. (if any) (if any)

ROAD KA04AC7801 Karnataka 23/02/2023 04:54 PM 29AACCO1867C1ZH 0 -