Invoice Chemist in Vietnam Ho Chi Minh City –Free Word Template Download with AI
128 Nguyen Hue Boulevard, District 1
Vietnam Ho Chi Minh City, 700000
Tax Code: 0312345678
Phone: +84 28 3822 4567
Email: billing@sai gonchemist.vn
Bill To
Customer: Binh Dan General Hospital
Address: 341 Vo Van Kiet Street, Ward 25
Vietnam Ho Chi Minh City, 700000
Contact Person: Dr. Nguyen Thi Lan
Phone: +84 28 3811 2233
Email: [email protected]
Invoice Details
Service Category: Chemist Supply & Dispensing
Order Reference: PO-2025-03341
Delivery Location: Vietnam Ho Chi Minh City
Delivery Date: 12 June 2025
Delivery Status: Completed
| # | Description of Chemist Product / Service | SKU / Code | Quantity | Unit Price (VND) | Amount (VND) |
|---|---|---|---|---|---|
| 1 | Amoxicillin 500mg Capsules – 200 boxes (Chemist-grade pharmaceutical supply) | CHM-AMX-500 | 200 | 185,000 | 37,000,000 |
| 2 | Ibuprofen 400mg Tablets – 150 boxes (Bulk Chemist dispensing order) | CHM-IBU-400 | 150 | 120,000 | 18,000,000 |
| 3 | Paracetamol 500mg Syrup 100ml – 80 bottles (Pediatric Chemist formulation) | CHM-PCM-SYP | 80 | 95,000 | 7,600,000 |
| 4 | Sterile Normal Saline 0.9% 500ml IV Bags – 300 units (Hospital-grade Chemist supply) | CHM-NSL-500 | 300 | 42,000 | 12,600,000 |
| 5 | Chemist Consultation & Drug Interaction Review Service – 10 hours | CHM-SVC-CONS | 10 | 1,500,000 | 15,000,000 |
| 6 | Pharmaceutical Storage & Cold Chain Management – Monthly Chemist service fee | CHM-SVC-COLD | 1 | 8,500,000 | 8,500,000 |
| 7 | Delivery & Logistics within Vietnam Ho Chi Minh City – Chemist distribution service | CHM-SVC-DEL | 1 | 2,200,000 | 2,200,000 |
| Subtotal | 100,900,000 VND |
| VAT (10% – Vietnam Standard Rate) | 10,090,000 VND |
| Discount (Corporate Agreement – 2%) | -2,018,000 VND |
| Grand Total | 108,972,000 VND |
Invoice Notes & Chemist Compliance Statement
This Invoice is issued by Sai Gon Chemist & Pharmacy Co., Ltd., a licensed Chemist and pharmaceutical distribution entity registered and operating in Vietnam Ho Chi Minh City. All products listed on this Invoice have been sourced from approved manufacturers and comply with the regulations set forth by the Vietnam Ministry of Health and the Department of Health of Ho Chi Minh City.
The Chemist services rendered, including drug interaction reviews, cold chain management, and pharmaceutical storage, were performed by licensed pharmacists and registered Chemist professionals in accordance with Vietnamese pharmaceutical law. All temperature-sensitive items were transported under monitored cold chain conditions within the Vietnam Ho Chi Minh City metropolitan area.
Please retain this Invoice for your hospital procurement records. This document serves as the official financial record of the Chemist supply transaction and is valid for tax deduction purposes under Vietnamese accounting regulations.
Payment Instructions
Bank: Vietcombank – Ho Chi Minh City Branch
Account Name: Sai Gon Chemist & Pharmacy Co., Ltd.
Account Number: 0091018765432
SWIFT Code: BFTVVNVX
Reference: Please cite Invoice No. SG-CHM-2025-04872 in your payment transfer.
Payment Deadline: This Invoice is due within 15 calendar days from the date of issue. Late payments will incur a penalty of 0.05% per day as stipulated in our Chemist service agreement.
Prepared By:Tran Van Minh – Senior Chemist & Billing Officer
Sai Gon Chemist & Pharmacy Co., Ltd. Authorized By:
Dr. Le Hoang Phuc – Director
Sai Gon Chemist & Pharmacy Co., Ltd.
Vietnam Ho Chi Minh City ⬇️ Download as DOCX Edit online as DOCX
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