Telephone Bill

Name and Address of the Customer

REFREL HOSPITAL &PRIMARY HEALTH CENTRE.NAKALOL (PMS) KALOL (PMS)GJ389330India.

Customer ID 1016300140

Account Number 1016396492

Invoice Number 10163964920056

Invoice Date 01-MAR-15

Due Date 27-MAR-15

Phone Number 2676235937

Previous Balance Last Payment Adjustments Current charges Account balance Amount PayableA B C D A-B+C+D (Rounded Up)

3028.78 1228.00 31.67 1217.98 3050.43 3051

Summary ofCurrent Charges Amount(Rs.)

Recurring Charges 1084.00

One Time Charges 0.00

Usage Charges

Discounts

Tax 133.98

Late Fee 31.67

Total Charges (Rs.) 1217.98-----------------------------------------------------------------

Tax DetailsDescription Amount(Rs.)

Tax 130.08

Educational CESS 2.60

Higher Edu. CESS 1.30

Accounts Officer (TR)"Please pay current bill amount only, if theprevious telephone bill amount has already

been paid."

This is a computer generated bill and hencedoes not require any Signature.

Payment Slip

Invoice Number 10163964920056

Invoice Date 01-MAR-15

Due Date 27-MAR-15

Account Number 1016396492

Phone Number 2676235937

Amount Due 3051

Invoice Date 01-MAR-15 Due date 27-MAR-15 Amount Paid

This Bill is generated from http://www.bsnl.co.in. Authorised collection centres can accept against this bill.