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Invoice Dietitian in India Bangalore –Free Word Template Download with AI

Certified Dietitian Services

123, MG Road, Indiranagar

Bangalore, Karnataka 560038

India

Email: [email protected]

Phone: +91 80 1234 5678

GSTIN: 29ABCDE1234F1Z5

Professional Dietitian Consultation

Bill To:

Mr. Rajesh Kumar

45, Koramangala 4th Block

Bangalore, Karnataka 560034

India

Email: [email protected]

Phone: +91 98765 43210

Invoice Details:

Invoice Number: INV-BLR-2024-0892

Date of Issue: January 15, 2024

Due Date: January 30, 2024

Service Period: January 1, 2024 - January 31, 2024

Payment Terms: Net 15 Days

Description of Dietitian Services Quantity Unit Price (INR) Amount (INR)
Initial Comprehensive Nutritional Assessment and Consultation 1 2,500.00 2,500.00
Personalized Meal Planning for Diabetes Management 1 3,000.00 3,000.00
Follow-up Dietitian Consultation Sessions (4 sessions) 4 1,500.00 6,000.00
Nutritional Counseling for Weight Management Program 1 2,000.00 2,000.00
Food Diary Analysis and Dietary Modification Recommendations 1 1,500.00 1,500.00
Supplement Prescription and Guidance 1 1,000.00 1,000.00
Monthly Progress Report and Plan Adjustment 1 1,500.00 1,500.00
Subtotal: ₹17,500.00 GST (18%): ₹3,150.00 Total Amount Due: ₹20,650.00

Payment Information:

Bank Name: State Bank of India

Branch: Indiranagar, Bangalore

Account Name: NutriLife Wellness Clinic

Account Number: 32101234567890

IFSC Code: SBIN0012345

UPI ID: nutrilife@upi

Cheque Payable To: NutriLife Wellness Clinic

Terms and Conditions:

1. This invoice is issued by a registered Dietitian practicing in Bangalore, India, in accordance with the guidelines of the Indian Dietetic Association.

2. Payment is due within 15 days from the date of invoice. Late payments may incur a penalty of 2% per month.

3. All dietitian services provided are confidential and protected under Indian medical privacy laws.

4. GST is applicable as per the Government of India tax regulations for healthcare services.

5. This invoice serves as an official receipt upon payment confirmation.

6. For any queries regarding this invoice or dietitian services, please contact our office in Bangalore.

7. Services rendered are based on professional dietitian assessment and may require medical clearance from your physician.

8. Refund policy: No refunds for services already rendered. Cancellation must be made 24 hours in advance.

9. This invoice is valid for the financial year 2023-2024 as per Indian accounting standards.

10. By making payment, you acknowledge receipt of professional dietitian consultation services in Bangalore, India.

Authorized Signatory

Dr. Priya Sharma, RD

Registered Dietitian

Membership No: IDA-BLR-4567

Client Acknowledgment

Client Signature

Date: _______________

Thank you for choosing our professional dietitian services in Bangalore, India.

Your health and nutrition are our priority.

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