Invoice Dentist in Bangladesh Dhaka –Free Word Template Download with AI
House #45, Road #12, Dhanmondi R/A
Dhaka-1205, Bangladesh
Phone: +880 2 9123456
Email: [email protected]
BNB Registration: 123456789
Invoice #: DS-2024-00123
Date: January 15, 2024
Due Date: January 30, 2024
Payment Status: Pending
Bill To:
Mr. Rahim Ahmed
House #78, Road #5, Banani
Dhaka-1213, Bangladesh
Phone: +880 1712-345678
Email: [email protected]
NID: 1234567890123
| Item # | Description of Dental Services | Quantity | Unit Price (BDT) | Total (BDT) |
|---|---|---|---|---|
| 1 | Comprehensive Dental Examination and Consultation | 1 | 1,500.00 | 1,500.00 |
| 2 | Full Mouth Digital X-Ray (OPG) | 1 | 2,000.00 | 2,000.00 |
| 3 | Professional Teeth Cleaning (Scaling and Polishing) | 1 | 3,500.00 | 3,500.00 |
| 4 | Root Canal Treatment (Single Root Tooth) | 1 | 8,000.00 | 8,000.00 |
| 5 | Composite Filling (Tooth #14) | 1 | 2,500.00 | 2,500.00 |
| 6 | Porcelain Crown (Tooth #14) | 1 | 15,000.00 | 15,000.00 |
| 7 | Follow-up Consultation | 1 | 1,000.00 | 1,000.00 |
| 8 | Prescription Medications (Antibiotics and Painkillers) | 1 | 800.00 | 800.00 |
Subtotal: BDT 34,300.00
VAT (5%): BDT 1,715.00
Service Charge (5%): BDT 1,715.00
Grand Total: BDT 37,730.00
Payment Information
Bank Name: Dhaka Bank PLC
Branch: Dhanmondi Branch, Dhaka
Account Name: Dhaka Smile Dental Clinic
Account Number: 1234567890123
Routing Number: 0123456789
BKash: +880 1712-345678 (Merchant)
Nagad: +880 1812-345678 (Merchant)
Please include the invoice number as a reference when making payment.
Terms and Conditions
1. Payment is due within 15 days of the invoice date.
2. Late payments may incur a penalty of 2% per month.
3. All dental services are subject to the dentist's professional judgment.
4. This invoice is valid for tax purposes in Bangladesh.
5. Please retain this invoice for your records and insurance claims.
6. Any disputes regarding this invoice must be raised within 30 days.
7. Dental treatments are performed according to the standards set by the Bangladesh Dental Council.
8. This invoice is generated in Dhaka, Bangladesh, and is subject to local laws and regulations.
Authorized by:
Dr. Fatima KhanLead Dentist
Received by:
Client Signature
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