Invoice Doctor General Practitioner in Argentina Buenos Aires –Free Word Template Download with AI
Clínica Privada & Consultorio Médico
Av. Corrientes 1234, Piso 5, Of. B
C1043AAZ Buenos Aires, Argentina
Tel: +54 11 4321-5678
Email: [email protected]
INVOICE
Invoice Number: INV-2023-0892
Date of Issue: October 24, 2023
Due Date: November 07, 2023
CUIT: 20-23456789-0
IVA Category: Responsable Inscripto
Billed To (Paciente / Cliente)
Name: Maria Elena Fernandez
DNI: 28.765.432
Address: Calle Sarmiento 567, Depto 12-B
City: C1414 Buenos Aires, Argentina
Phone: +54 11 5555-1234
Email: [email protected]
Payment Information
Bank: Banco Nación Argentina
CBU: 0110000000000000123456
Account Holder: Dr. Alejandro M. Rossi
Currency: Argentine Peso (ARS)
Note: Payments must be made within 14 days. Late payments may incur a penalty fee according to local regulations in Buenos Aires.
| # | Description of Medical Services | Code (CIP) | Qty | Unit Price (ARS) | Total (ARS) |
|---|---|---|---|---|---|
| 1 |
Initial Consultation - General Practitioner Comprehensive medical evaluation including patient history review, physical examination, and preliminary diagnosis. Conducted at the clinic in Buenos Aires. |
01.01.01 | 1 | 15,000.00 | 15,000.00 |
| 2 |
Follow-up Consultation Review of test results and adjustment of treatment plan. Includes prescription management and health advice. |
01.01.02 | 2 | 12,000.00 | 24,000.00 |
| 3 |
Electrocardiogram (ECG) Interpretation Professional analysis and interpretation of ECG results performed by the Doctor General Practitioner. |
05.02.01 | 1 | 8,500.00 | 8,500.00 |
| 4 |
Medical Certificate Issuance Official medical certificate for employment purposes, valid in Argentina Buenos Aires jurisdiction. |
99.01.05 | 1 | 5,000.00 | 5,000.00 |
| 5 |
Home Visit Service Emergency home visit provided by the Doctor General Practitioner within the Buenos Aires metropolitan area. |
01.05.01 | 1 | 25,000.00 | 25,000.00 |
| 6 |
Chronic Disease Management Plan Development of a personalized long-term care plan for hypertension management, including dietary recommendations. |
01.03.01 | 1 | 18,000.00 | 18,000.00 |
| Subtotal: | 95,500.00 ARS |
| IVA (21%): | 20,055.00 ARS |
| TOTAL DUE: | 115,555.00 ARS |
Terms and Conditions
1. This Invoice is issued in accordance with the tax regulations of the Argentine Republic and the specific healthcare laws applicable in Buenos Aires.
2. All services rendered by the Doctor General Practitioner are subject to professional confidentiality as mandated by the Medical Ethics Code of Argentina.
3. Payment is expected within 14 days from the date of issue. After this period, a late fee of 2% per month may be applied.
4. This document serves as proof of payment for private medical services and may be used for insurance reimbursement purposes. Please retain this Invoice for your records.
5. In case of any discrepancies regarding the services provided or the amounts charged, please contact the clinic within 7 days of receiving this Invoice.
6. The Doctor General Practitioner reserves the right to cancel appointments with less than 24 hours notice without refund, unless under emergency circumstances.
7. All medical advice and treatments provided are based on the professional judgment of the Doctor General Practitioner and current medical standards in Argentina.
8. This Invoice is valid for tax deduction purposes according to the AFIP (Administración Federal de Ingresos Públicos) regulations.
Official StampDr. A.M. Rossi
Buenos Aires Dr. Alejandro M. Rossi
Doctor General Practitioner
Mat. Médica N° 45.892 Patient Signature
Maria Elena Fernandez
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
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