Invoice Dentist in Pakistan Karachi –Free Word Template Download with AI
Providing Premium Dental Services in Pakistan Karachi
123 Shahrah-e-Faisal, Clifton Block 5
Karachi, Sindh, Pakistan
Phone: +92 21 3587 1234
Email: [email protected]
NTN: 1234567-8
Invoice #: INV-2023-0892
Date: October 24, 2023
Due Date: November 07, 2023
Bill To:
Mr. Ahmed Khan
House #45-B, Street 10
Gulshan-e-Iqbal, Karachi
Pakistan
Phone: +92 300 1234567
Invoice Information:
Patient ID: P-8821
Treating Dentist: Dr. Sarah Ali, BDS, FCPS
Appointment Date: October 24, 2023
Payment Method: Cash / Bank Transfer
| # | Description of Dental Services | Code | Qty | Unit Price (PKR) | Total (PKR) |
|---|---|---|---|---|---|
| 1 | Comprehensive Dental Examination and Consultation | D0150 | 1 | 2,500.00 | 2,500.00 |
| 2 | Full Mouth Panoramic X-Ray (OPG) | D0330 | 1 | 3,000.00 | 3,000.00 |
| 3 | Professional Scaling and Polishing (Upper & Lower) | D1110 | 1 | 4,500.00 | 4,500.00 |
| 4 | Root Canal Treatment (Molar Tooth #30) | D3330 | 1 | 15,000.00 | 15,000.00 |
| 5 | Porcelain Crown Fabrication and Placement | D2750 | 1 | 25,000.00 | 25,000.00 |
| 6 | Composite Filling (Tooth #14) | D2391 | 1 | 3,500.00 | 3,500.00 |
| 7 | Extraction of Impacted Wisdom Tooth (Tooth #48) | D7210 | 1 | 8,000.00 | 8,000.00 |
| 8 | Prescription Medication (Antibiotics & Painkillers) | PHARM | 1 | 1,500.00 | 1,500.00 |
Terms and Conditions:
1. Payment is due within 14 days of the invoice date. Late payments may incur a penalty of 2% per month.
2. This invoice is valid for tax purposes in Pakistan Karachi and complies with local regulations.
3. Please retain this document for your records and insurance claims.
4. Refunds are subject to clinic policy and must be requested within 30 days.
5. For any discrepancies, contact our billing department at [email protected].
6. All dental procedures were performed by licensed professionals adhering to international standards.
7. Follow-up appointments are recommended as per the dentist's instructions.
8. This invoice includes all applicable taxes and fees as mandated by the Government of Sindh.
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