Invoice Dentist in Brazil Rio de Janeiro –Free Word Template Download with AI
Rio de Janeiro, Brazil
From:
Dr. João Silva
Clinica Dental Rio
Av. Atlântica, 1500 - Copacabana
Rio de Janeiro, RJ - 22021-001
Brazil
CNPJ: 12.345.678/0001-90
CRM: 12345
Phone: +55 21 1234-5678
Email: [email protected]
To:
Client Name: Maria Oliveira
Address: Rua das Flores, 123 - Ipanema
Rio de Janeiro, RJ - 22420-001
Brazil
CPF: 987.654.321-00
Phone: +55 21 8765-4321
Email: [email protected]
Invoice Details:
Invoice Number: INV-2023-00123
Date of Issue: October 15, 2023
Due Date: November 15, 2023
Payment Method: Bank Transfer / Credit Card
Service Details:
Service Date: October 10, 2023
Service Type: Comprehensive Dental Treatment
Location: Rio de Janeiro, Brazil
| Description | Quantity | Unit Price (BRL) | Total (BRL) |
|---|---|---|---|
| Initial Consultation and Examination | 1 | 200.00 | 200.00 |
| Full Mouth X-Rays | 1 | 300.00 | 300.00 |
| Professional Teeth Cleaning (Prophylaxis) | 1 | 250.00 | 250.00 |
| Fillings (Composite Resin) - 3 Teeth | 3 | 350.00 | 1,050.00 |
| Root Canal Treatment - 1 Tooth | 1 | 1,200.00 | 1,200.00 |
| Dental Crown (Porcelain) - 1 Tooth | 1 | 1,500.00 | 1,500.00 |
| Follow-up Consultation | 1 | 150.00 | 150.00 |
| Subtotal | 4,650.00 | ||
| Discount (5%) | -232.50 | ||
| Total Amount Due | 4,417.50 | ||
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