Invoice Doctor General Practitioner in India New Delhi –Free Word Template Download with AI
42, Block C, Greater Kailash Part I
New Delhi, Delhi 110048
India New Delhi
Phone: +91-11-4155-XXXX
Email: [email protected]
Reg No: DMCI-XXXXX | GSTIN: 07AABCS1234D1Z5
Date: October 24, 2023
Due Date: November 07, 2023
Bill To:
Mr. Rajesh Verma
Flat 302, Sunrise Apartments
Sector 18, Rohini
New Delhi, Delhi 110085
India New Delhi
Phone: +91-98765-XXXXX
Invoice Details:
Invoice #: GP-INV-2023-0892
Consultation ID: PAT-88291
Payment Method: UPI / Net Banking / Cash
Bank: HDFC Bank, Connaught Place Branch
| # | Description of Services | HSN/SAC Code | Qty | Amount (INR) |
|---|---|---|---|---|
| 1 |
Primary Consultation Fee Comprehensive health assessment by Doctor General Practitioner including history taking, physical examination, and preliminary diagnosis. |
999411 | 1 | ₹ 1,500.00 |
| 2 |
Diagnostic Review & Interpretation Analysis of blood workup (CBC, Lipid Profile) and ECG reports submitted by the patient in India New Delhi. |
999411 | 1 | ₹ 800.00 |
| 3 |
Prescription & Medication Management Detailed prescription issuance, dosage instructions, and follow-up schedule planning. |
999411 | 1 | ₹ 500.00 |
| 4 |
Minor Procedure: Wound Dressing Clinical dressing and antiseptic treatment for minor laceration on the left forearm. |
999411 | 1 | ₹ 1,200.00 |
| 5 |
Health Education & Lifestyle Counseling Dietary advice and lifestyle modification plan tailored for hypertension management. |
999411 | 1 | ₹ 700.00 |
Terms and Conditions:
- Payment Terms: Payment is due within 15 days of the invoice date. Late payments may incur a penalty of 2% per month.
- Insurance Claims: This invoice is valid for reimbursement claims with major health insurance providers operating in India New Delhi. Please retain this document for your records.
- Validity: This Invoice is valid for 30 days from the date of issue.
- Disputes: Any discrepancies regarding charges must be reported within 7 days of receiving this Invoice.
- Consultation Policy: As a Doctor General Practitioner, Dr. Sharma reserves the right to refer patients to specialists if the condition requires advanced care beyond general practice.
- Digital Records: A digital copy of this Invoice will be sent to the patient's registered email address.
Authorized Signatory
Dr. A. SharmaDoctor General Practitioner
India New Delhi ⬇️ Download as DOCX Edit online as DOCX
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