Invoice Chemist in Spain Madrid –Free Word Template Download with AI
Chemist & Pharmacy Services
Calle Gran Vía, 42, 28013 Madrid, Spain
Tel: +34 915 55 12 34 | Email: [email protected]
NIF: B-87654321 | Col. Farm. Madrid Nº 12.847
PAID
Bill To (Customer)
Name: D. Carlos Fernández Ruiz
Address: Calle Serrano, 118, 4ºB
City: 28006 Madrid, Spain
NIF: 12.345.678-Z
Phone: +34 612 345 678
Insurance: Mutualidad General Sanitaria (MGS)
Prescribing Physician
Doctor: Dr. Antonio Vega Martín
Specialty: Internal Medicine
Clinic: Hospital Universitario La Paz
Address: Paseo de la Castellana, 261
City: 28046 Madrid, Spain
Nº Colegiado: 28/28456
| # | Description | Product Code (DCI) | Quantity | Unit Price (€) | IVA % | Amount (€) |
|---|---|---|---|---|---|---|
| 1 | Amoxicillin 500mg Capsules – 21 caps (Prescription) | AMX-500-21 | 2 boxes | 4.85 | 10% | 9.70 |
| 2 | Ibuprofen 600mg Tablets – 20 tabs (Prescription) | IBU-600-20 | 1 box | 3.20 | 10% | 3.20 |
| 3 | Omeprazole 20mg Gastro-resistant Capsules – 28 caps (Prescription) | OMP-20-28 | 1 box | 5.60 | 10% | 5.60 |
| 4 | Salbutamol 100mcg Inhaler – 200 doses (Prescription) | SAL-100-200 | 1 unit | 12.45 | 10% | 12.45 |
| 5 | Paracetamol 1g Effervescent Tablets – 20 tabs (OTC) | PAR-1000-20 | 1 box | 2.10 | 10% | 2.10 |
| 6 | Hydrocortisone Cream 1% – 30g Tube (OTC) | HYD-1-30 | 1 tube | 4.35 | 10% | 4.35 |
| 7 | Electrolyte Rehydration Solution – 10 sachets (OTC) | ELE-10 | 1 pack | 3.80 | 10% | 3.80 |
| 8 | Digital Blood Pressure Monitor – Omron M3 (OTC) | BP-OMR-M3 | 1 unit | 34.99 | 21% | 34.99 |
| 9 | Pharmacy Consultation & Medication Review Service | SVC-CONSULT | 1 session | 8.00 | 21% | 8.00 |
| Subtotal (Excl. IVA) | 84.19 € |
| IVA 10% (Pharmaceutical Products) | 8.42 € |
| IVA 21% (Non-Pharmaceutical Items & Services) | 9.94 € |
| Insurance Co-payment (MGS – 40% covered) | -14.27 € |
| TOTAL DUE | 88.28 € |
Important Notes & Legal Information
- This Invoice has been issued by Farmacia Central Madrid, a registered Chemist establishment operating under the jurisdiction of the Colegio Oficial de Farmacéuticos de Madrid, Spain. All pharmaceutical products dispensed comply with the regulations set forth by the Agencia Española de Medicamentos y Productos Sanitarios (AEMPS).
- Prescription items (lines 1–4) were dispensed in accordance with the valid prescription issued by Dr. Antonio Vega Martín. The original prescription has been retained by this Chemist in compliance with Spanish pharmaceutical law (Ley 29/1994 de Garantías y Uso Racional de los Medicamentos de Uso Humano).
- Over-the-counter (OTC) products (lines 5–8) were sold without a prescription after appropriate consultation by the on-duty Chemist. The customer acknowledges having received adequate information regarding dosage, contraindications, and potential side effects.
- Value Added Tax (IVA) is applied at 10% for essential pharmaceutical products and 21% for non-pharmaceutical goods and professional services, in accordance with the Spanish Tax Code (Ley 37/1992 del IVA).
- Payment was settled in full on the date of this Invoice via debit card (Visa ending in 4821). No outstanding balance remains. This Invoice serves as the official receipt for tax and insurance reimbursement purposes in Madrid, Spain.
- Any returns or exchanges of unopened pharmaceutical products must be presented to this Chemist within 30 calendar days of the purchase date, accompanied by this Invoice and the original packaging. Perishable items and compounded preparations are non-returnable.
- This document is valid as a fiscal Invoice under the regulations of the Agencia Tributaria (Spanish Tax Agency). For any queries regarding this Invoice, please contact the Chemist at the address stated above or reference Invoice Number FCM-2025-004872 in all correspondence.
- The customer's personal data processed in this Invoice is handled in strict compliance with the General Data Protection Regulation (GDPR) and the Spanish Organic Law 3/2018 on Personal Data Protection and Guarantee of Digital Rights.
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