Received with thanks from Mr.MUHAMMAD MINASH P M a sum of Rs. 16,818.

00 (Rupees Sixteen Thousand Eight Hundred

Eighteen Only ) by way of EASI Bill Desk towards the following transactions.

1 50 2024 570106502310002619 750869 National Parivar Mediclaim/Plus

16 9000139134 Direct Premium 14,252.00
CGST 1,283.00
SGST 1,283.00
Total 16,818.00
Receipt is subject to realisation of cheque when payment is made by cheque. Our document number and Date, Policy year and
Number should be quoted in all correspondence with us only to the Policy issuing office address mentioned above. Revenue
stamp has to be affixed when the amount is or above Rs. 5000.

We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the
aggregate turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of
the said sub-rule

Printed on 31/12/2023 by 57010698 Page No : 2