INCOME TAX PAYMENT CHALLAN

For 1-Bill Payment through member PSID # : 170800077

bank please add prefix 999999 with PSID

CTO LAHORE 5 7 2024

Name of LTU/MTU/RTO LTU/MTU/RTO Code Tax Year
Nature of Tax Admitted Income Tax Misc. CVT Month/Year 09 23
Payment
Demanded Income Tax Advance Income Tax Withheld Income Tax (Final) (only for payment u/s 149)

Withheld Income Tax (Adjustible) WPPF/WWF

Payment Section 153(1)(a) Payment for Goods u/s 153(1)(a) (ATL @ Payment Section Code 64060083
5.5% / Non-ATL @ 11%) other than
companies
(Section) (Description of Payment Section) Account Head (NAM) B01134
Taxpayer's Particulars (To be filled for payments other than Withholding Taxes) (To be filled in by the bank)

NTN CNIC/Reg./Inc. No.

Taxpayer's Name Status
Business Name
Address
FOR WITHHOLDING TAXES ONLY
NTN/FTN of Withholding agent 9020100-7 CNIC/Reg./Inc. No.
Name of withholding agent MINISTRY OF HEALTH.
Total no. of Taxpayers 1 Total Tax Deducted 390

Amount of tax in words: Three Hundred Ninety Rupees And No Paisas Only Rs. 390
Modes & particulars of payment
Sr. Type No. Amount Date Bank City Branch Name & Address
1 ADC (e- 390 No Branch
payment)
DECLARATION
I hereby declare that the particulars mentioned in this challan are correct.
CNIC of Depositor

Name of Depositor MINISTRY OF HEALTH.

Date

Stamp & Signature

PSID-IT-000142942160-092024

Prepared By : guest_user - Guest_User Date: 22-Sep-2023 05:40 PM

Note: This is an input form and should not be signed/stamped by the Bank. However, a CPR should be issued after receipt of payment by
the Bank.