Invoice Dentist in Pakistan Islamabad –Free Word Template Download with AI
Professional Dental Services in Pakistan Islamabad
Plot #45, F-8 Markaz, Islamabad, Pakistan
Phone: +92-51-1234567 | Email: [email protected]
NTN: 1234567-8 | Sales Tax Registration: 0000000-0000000
Invoice Number: INV-2024-0892
Date: January 15, 2024
Due Date: January 30, 2024
Payment Status: Pending
Bill To:
Patient Name: Muhammad Ahmed Khan
Address: House #12, Street #5, G-9/4, Islamabad, Pakistan
Contact: +92-300-1234567
CNIC: 35202-1234567-1
Insurance Provider: Al-Falah General Insurance (Policy #AF-2024-5678)
Professional Dental Services Rendered
This invoice represents the comprehensive dental treatment provided at our Islamabad clinic, adhering to the highest standards of dental care in Pakistan. All procedures were performed by licensed dental professionals registered with the Pakistan Dental Council.
| Item # | Description of Dental Service | Procedure Code | Date of Service | Quantity | Unit Price (PKR) | Total (PKR) |
|---|---|---|---|---|---|---|
| 1 | Comprehensive Dental Examination and Consultation | D0150 | Jan 10, 2024 | 1 | 2,500 | 2,500 |
| 2 | Full Mouth Digital X-Rays (Panoramic) | D0330 | Jan 10, 2024 | 1 | 3,000 | 3,000 |
| 3 | Professional Dental Cleaning (Prophylaxis) | D1110 | Jan 10, 2024 | 1 | 4,500 | 4,500 |
| 4 | Composite Filling - Tooth #14 (Upper Right First Molar) | D2391 | Jan 12, 2024 | 1 | 8,000 | 8,000 |
| 5 | Root Canal Treatment - Tooth #30 (Lower Left First Molar) | D3330 | Jan 12, 2024 | 1 | 25,000 | 25,000 |
| 6 | Porcelain Crown - Tooth #30 | D2750 | Jan 14, 2024 | 1 | 35,000 | 35,000 |
| 7 | Local Anesthesia | D9920 | Jan 12, 2024 | 2 | 500 | 1,000 |
| 8 | Follow-up Consultation and Treatment Assessment | D0140 | Jan 15, 2024 | 1 | 1,500 | 1,500 |
Important Notes and Terms:
- This invoice is issued in accordance with the tax regulations of Pakistan and is valid for financial and insurance purposes.
- Payment is due within 15 days from the invoice date. Late payments may incur a 2% monthly interest charge.
- Accepted payment methods include cash, bank transfer, debit/credit cards, and mobile banking services available in Islamabad.
- For bank transfers, please use the following account details: Bank Alfalah, Account Title: Islamabad Dental Care Center, Account Number: 1234-5678-9012-3456.
- All dental procedures were performed using sterilized equipment and materials approved by the Pakistan Dental Association.
- Patients are advised to maintain regular dental check-ups every six months for optimal oral health.
- Any disputes regarding this invoice should be raised within 7 days of receipt.
- This document serves as an official record of dental treatment received at our clinic in Islamabad, Pakistan.
Authorized Signature
Dr. Sarah Malik, DDS
Lead Dentist
Islamabad Dental Care Center
Patient Acknowledgment
Muhammad Ahmed Khan
Date: _______________
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