Invoice Doctor General Practitioner in Ghana Accra –Free Word Template Download with AI
Ridge Hospital Complex, Suite 4B
Ridge, Accra, Greater Accra Region
Ghana
Phone: +233 30 277 5500
Email: [email protected]
Invoice #: ACC-GP-2023-0892
Date: October 24, 2023
Due Date: November 07, 2023
Bill From
Dr. Kwame Mensah
Doctor General Practitioner
Licensed by the Medical and Dental Council of Ghana
License No: GMD-45921
Ridge, Accra, Ghana
Bill To
Mr. Samuel Osei
12 Osu Oxford Street
Osu, Accra, Ghana
Phone: +233 24 123 4567
Email: [email protected]
NHIS Number: NHIS-GH-99887766
Bank: Ecobank Ghana
Account Name: Dr. Kwame Mensah
Account Number: 1001234567890 Reference: Consultation & Treatment
Location: Accra, Ghana
| Description of Services | Quantity | Unit Price (GHS) | Total (GHS) |
|---|---|---|---|
|
Initial Consultation Fee Comprehensive medical assessment by Doctor General Practitioner in Accra. Includes patient history review, physical examination, and preliminary diagnosis. |
1 | 150.00 | 150.00 |
|
Diagnostic Blood Tests Full Blood Count (FBC), Malaria Parasite Test, and Blood Glucose Level check. Conducted at partner laboratory in Accra. |
1 | 250.00 | 250.00 |
|
Prescription Medication Antibiotics and antipyretics prescribed for treatment of acute respiratory infection. Dispensed at clinic pharmacy. |
1 | 180.00 | 180.00 |
|
Follow-up Consultation Review of test results and adjustment of treatment plan by Doctor General Practitioner. |
1 | 100.00 | 100.00 |
|
Medical Certificate Official sick leave certificate issued for employer in Accra, Ghana. |
1 | 50.00 | 50.00 |
Terms and Conditions
This Invoice is issued by Dr. Kwame Mensah, a licensed Doctor General Practitioner operating in Accra, Ghana. Payment is due within 14 days of the invoice date. Late payments may incur a penalty of 2% per month.
All medical services provided adhere to the standards set by the Medical and Dental Council of Ghana. This document serves as an official record of medical services rendered and can be used for insurance claims, including the National Health Insurance Scheme (NHIS) of Ghana.
For any inquiries regarding this Invoice or your medical treatment, please contact our office in Accra during business hours (Monday to Friday, 8:00 AM to 5:00 PM).
Thank you for trusting our medical care. We are committed to providing high-quality healthcare services to our patients in Ghana Accra and beyond.
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