Invoice Chemist in South Africa Cape Town –Free Word Template Download with AI
142 Sea Point Promenade, Sea Point
Cape Town, 8005, Western Cape
South Africa
Tel: +27 21 424 5678 | Email: [email protected]
VAT Registration No: 4930128765
POB No: 0012345 | HPCSA Reg: 0001234567
Invoice No: CT-CHM-2025-004872
Date Issued: 14 June 2025
Due Date: 28 June 2025
Payment Due
Billed To
Medicorp Health Services (Pty) Ltd
78 Long Street, City Bowl
Cape Town, 8001, Western Cape
South Africa
VAT No: 4930987654
Account Ref: MH-2025-CT-0091
Invoice Reference
Chemist Order Reference: ORD-CT-2025-11847
Prescription Ref: RX-2025-00342
Dispensing Pharmacist: Pharm. N. van der Merwe
Service Location: Cape Town, South Africa
Payment Terms: Net 14 Days
| # | Description of Goods / Services | Product Code | Quantity | Unit Price (ZAR) | Amount (ZAR) | VAT (15%) |
|---|---|---|---|---|---|---|
| 1 | Amoxicillin 500mg Capsules (28s) – Dispensed per prescription at Cape Town Chemist | AMX-500-28 | 3 | R 187.50 | R 562.50 | R 84.38 |
| 2 | Ibuprofen 400mg Tablets (100s) – Over-the-counter supply by Chemist | IBU-400-100 | 5 | R 94.25 | R 471.25 | R 70.69 |
| 3 | Metformin 850mg Tablets (60s) – Chronic medication dispensed by Cape Town Chemist | MTF-850-60 | 2 | R 142.80 | R 285.60 | R 42.84 |
| 4 | Salbutamol Inhaler 100mcg (200 doses) – Respiratory medication from Chemist | SAL-100-200 | 1 | R 215.00 | R 215.00 | R 32.25 |
| 5 | Pharmaceutical Compounding Service – Custom preparation by Cape Town Chemist | SVC-COMP-001 | 1 | R 350.00 | R 350.00 | R 52.50 |
| 6 | Home Delivery Service within Cape Town, South Africa – Chemist courier dispatch | SVC-DEL-CT | 1 | R 85.00 | R 85.00 | R 12.75 |
| 7 | Pharmaceutical Consultation & Medication Review – Cape Town Chemist service | SVC-CONS-01 | 1 | R 120.00 | R 120.00 | R 18.00 |
| Subtotal (Excl. VAT) | R 2,089.35 |
| VAT @ 15% (South Africa) | R 313.41 |
| Delivery Surcharge (Cape Town Metro) | R 0.00 |
| Discount (Loyalty Programme – Cape Town Chemist) | -R 52.23 |
| GRAND TOTAL (Incl. VAT) | R 2,350.53 |
Important Notes & Terms of This Invoice
1. This Invoice is issued by Cape Town Chemist & Pharmacy, a registered pharmaceutical dispensing facility operating in Cape Town, South Africa, in full compliance with the Medicines and Related Substances Act (Act 101 of 1965) and the Health Professions Council of South Africa (HPCSA) regulations.
2. All prescription medications listed on this Invoice were dispensed by a registered pharmacist at our Cape Town Chemist location. The original prescriptions have been retained in accordance with South African pharmaceutical law for a minimum period of five years.
3. Payment for this Invoice is due within fourteen (14) calendar days from the date of issue. Late payments will attract interest at the rate of 1.5% per month, as stipulated under the South African National Credit Act and standard commercial practice in Cape Town.
4. All prices on this Invoice are quoted in South African Rand (ZAR) and include the applicable 15% Value Added Tax (VAT) as levied by the South African Revenue Service (SARS). The Chemist is a registered VAT vendor in South Africa.
5. Please quote the Invoice number CT-CHM-2025-004872 and the Chemist Order Reference ORD-CT-2025-11847 on all correspondence and payment remittances to ensure accurate allocation of funds to your account at Cape Town Chemist.
6. In the event of any discrepancy or query regarding this Invoice, please contact the billing department of Cape Town Chemist within seven (7) business days. Our team in Cape Town, South Africa, is available Monday to Friday, 08:00 to 17:00, and Saturday 08:00 to 13:00.
7. This Invoice constitutes a legally binding document between Cape Town Chemist & Pharmacy and the billed entity. By accepting the goods and services described herein, the client acknowledges the terms and conditions of sale as published by the Chemist and applicable South African consumer protection legislation.
Payment Methods Accepted by Cape Town Chemist:
Bank Transfer: FNB Account No. 62845123907 | Branch Code: 250655 | Account Name: Cape Town Chemist (Pty) Ltd
Debit Order: EFT via your banking institution | Credit Card: Visa, Mastercard, American Express
Medicard / Medical Aid: Submit this Invoice to your scheme for reimbursement within 30 days
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