Invoice Chemist in Ghana Accra –Free Word Template Download with AI
142 Independence Avenue, Osu District
Accra, Ghana
Phone: +233 (0) 30 274 5561
Email: [email protected]
GPHA License No: GPHA/2024/08832
Billed To
Kwame Mensah Medical Supplies Ltd.
Attn: Dr. Abena Owusu-Ansah, Procurement Manager
27 Ring Road Central, East Legon
Accra, Ghana
TIN: 1042-8873-5521
Phone: +233 (0) 24 556 7789
Invoice Reference
PO Number: KMSL-PO-2025-0319
Order Date: 10 June 2025
Delivery Date: 12 June 2025
Delivery Address: East Legon, Accra, Ghana
Chemist Representative: Pharm. Daniel Asante
| # | Description of Chemist Product / Service | SKU / Ref | Qty | Unit Price (GHS) | Amount (GHS) |
|---|---|---|---|---|---|
| 1 | Amoxicillin 500mg Capsules (21-count blister) – Licensed Chemist Dispensed | ACCH-AMX-500 | 45 | 85.00 | 3,825.00 |
| 2 | Paracetamol 1g Tablets (100-count bottle) – Bulk Chemist Supply | ACCH-PCM-1000 | 60 | 42.50 | 2,550.00 |
| 3 | Oral Rehydration Salts (ORS) Sachets – 20-pack, Accra Chemist Standard | ACCH-ORS-20 | 120 | 18.75 | 2,250.00 |
| 4 | Metformin 500mg Tablets (60-count) – Chemist Compounded | ACCH-MET-500 | 35 | 112.00 | 3,920.00 |
| 5 | Topical Antifungal Cream 15g – Chemist Formulated, Ghana-Registered | ACCH-ANT-15G | 80 | 67.25 | 5,380.00 |
| 6 | Professional Chemist Consultation & Medication Review Service (per session) | ACCH-SVC-CONS | 4 | 250.00 | 1,000.00 |
| 7 | Delivery & Cold-Chain Logistics within Accra Metropolis (Chemist Certified Transport) | ACCH-SVC-DEL | 1 | 350.00 | 350.00 |
| Subtotal | 19,275.00 |
| VAT (15% – Ghana Revenue Authority) | 2,891.25 |
| GPHA Regulatory Levy (1%) | 192.75 |
| Discount (Corporate Chemist Account – 5%) | -963.75 |
| Grand Total (GHS) | 21,395.25 |
Invoice Notes & Chemist Compliance Statement
This Invoice is issued by Accra Chemist & Pharmacy, a fully licensed and registered Chemist establishment operating under the Pharmacy and Poisons Board of Ghana (GPHA). All pharmaceutical products listed on this Invoice have been sourced from verified manufacturers and distributors in compliance with Ghanaian pharmaceutical regulations and the Accra Metropolitan Health Directorate guidelines.
The Chemist representative, Pharm. Daniel Asante (GPHA Registration No: GPHA/PHM/2019/4471), has verified the accuracy of all prescriptions, dosage instructions, and product batch numbers referenced in this Invoice. All controlled substances, where applicable, have been dispensed in strict accordance with the Narcotic Drugs and Psychotropic Substances Act, 1990 (Act 478) as amended.
Payment for this Invoice is due within fourteen (14) calendar days from the date of issue. Accepted payment methods include bank transfer to Accra Chemist & Pharmacy's designated account at Ecobank Ghana (Account No: 0012-4455-8890, Branch: Osu, Accra), mobile money (MTN MoMo / Telecel Cash / AirtelTigo Cash), or certified cheque payable to "Accra Chemist & Pharmacy Ltd." Late payments will incur a penalty of 2% per month as stipulated in the corporate supply agreement.
Please retain this Invoice for your records and for any future claims with the National Health Insurance Authority (NHIA) of Ghana. For queries regarding this Invoice or to request a revised Chemist dispensing report, contact our billing department at [email protected] or call +233 (0) 30 274 5561, Monday through Saturday, 8:00 AM to 6:00 PM, Accra time (GMT).
This Invoice constitutes a legally binding document under the laws of the Republic of Ghana. Any disputes arising from this Invoice shall be resolved through the courts of competent jurisdiction in Accra, Ghana.
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