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BUXAR HEALTH ORGANISATION

Jan Seva Samarpan Trust

Regd. 496/2023

Reg No. 496-2023

Receipt No:

Date:

DONATION RECEIPT

Donor Name:

Mobile:

PAN Card No:

Payment Method:

Transaction ID:

Address:

Contribution Purpose	Net Amount
Voluntary Contribution Towards:

Terms Note:

This is an official secure digital receipt ledger. All voluntary contributions are utilized for official welfare portfolios.

Authorised Signatory

Address RZ-27 B Durga Park, New Delhi

Mobile +91-9911106799

Landline 011-49864841

Email jansevasamarpantrust.india@gmail.com