Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
Sirona Hygiene Private Limited Diksha Bansal
* Khewat No.685/621,Khatoni No.782, Mustil/Kila 307 C, Devi Ahilya Hostel, IIT Indore, Simrol,
No., 23//8 8-0,9 7-16,10 2-13, 11 7-18,12 8-0, Khandwa Road
Luhari, Jhajjar INDORE, MADHYA PRADESH, 452020
GURUGRAM, HARYANA, 124108 IN
IN State/UT Code: 23
PAN No: AACCF6009K Shipping Address :
GST Registration No: 06AACCF6009K1ZP Diksha Bansal
Diksha Bansal
307 C, Devi Ahilya Hostel, IIT Indore, Simrol,
Khandwa Road
INDORE, MADHYA PRADESH, 452020
IN
State/UT Code: 23
Place of supply: MADHYA PRADESH
Place of delivery: MADHYA PRADESH
Order Number: 405-5004999-7484358 Invoice Number : IN-23396
Order Date: 15.09.2025 Invoice Details : HR-142796621-2526
Invoice Date : 16.09.2025
Sl. Unit Net Tax Tax Tax Total
Description Discount Qty
No Price Amount Rate Type Amount Amount
1 Sirona Reusable Menstrual Cup for Women | Medium Size
with Pouch | Ultra Soft, Odour & Rash Free | 100% Medical
Grade Silicone | No Leakage | Protection for Up to 8-10 ₹231.25 -₹11.56 1 ₹219.69 12% IGST ₹26.36 ₹246.05
Hours | US FDA Registered | B07548J9WC ( FSP058 )
HSN:96190090
TOTAL: ₹26.36 ₹246.05
Amount in Words:
Two Hundred Forty-six Point Zero Five only
For Sirona Hygiene Private Limited:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 15/09/2025, [Link]
Mode of Payment: GiftCard
1111SEKDFgLmvM3Rndeej4JUJ hrs
Invoice Value:
246.05
Payment Transaction ID: Date & Time: 15/09/2025, [Link] Mode of Payment:
1111CzBAYGUvBfnDxgm1uXjEc hrs AmazonPay
*ASSPL-Amazon Seller Services Pvt. Ltd. (FSSAI License No. 10014043001078), ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Customers desirous of availing input GST credit are requested to create a Business account and purchase on [Link]/business from Business eligible offers
Please note that this invoice is not a demand for payment
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