Invoice Doctor General Practitioner in Japan Osaka –Free Word Template Download with AI
2-4-18 Umeda, Kita-ku
Japan Osaka 530-0001
Phone: +81-6-6345-8899
Email: [email protected]
INVOICE
Invoice Number: INV-2023-OSK-0452
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Service Period: October 2023
Bill From
Dr. Kenji Tanaka, M.D.
Doctor General Practitioner
License No.: Osaka-Med-99821
Japan Osaka Medical Association Member
Tax ID: T1234567890123
Bill To
Mr. Hiroshi Yamamoto
Patient ID: PT-88210
5-12-3 Namba, Chuo-ku
Japan Osaka 542-0076
Insurance Provider: Osaka Mutual Health Insurance
Policy Number: OMHI-99283746
Dear Mr. Yamamoto,
This Invoice serves as an official record of medical services provided by the Doctor General Practitioner at our clinic located in Japan Osaka. As a dedicated provider of primary healthcare, we ensure that all treatments, consultations, and diagnostic procedures are documented accurately for both your records and insurance processing. Please review the detailed breakdown of services below.
| Description of Service | Date | Quantity | Unit Price (JPY) | Total (JPY) |
|---|---|---|---|---|
| Initial Consultation - Doctor General Practitioner | Oct 05, 2023 | 1 | 3,500 | 3,500 |
| Follow-up Consultation - General Health Assessment | Oct 12, 2023 | 1 | 2,800 | 2,800 |
| Blood Pressure Monitoring & Cardiovascular Screening | Oct 05, 2023 | 1 | 1,500 | 1,500 |
| Complete Blood Count (CBC) Analysis | Oct 06, 2023 | 1 | 4,200 | 4,200 |
| Lipid Profile Test | Oct 06, 2023 | 1 | 3,800 | 3,800 |
| Prescription Issuance & Medication Counseling | Oct 12, 2023 | 1 | 1,200 | 1,200 |
| Health Certificate Issuance (Japan Osaka Compliance) | Oct 18, 2023 | 1 | 2,500 | 2,500 |
| Administrative Fee - Medical Records Management | Oct 20, 2023 | 1 | 800 | 800 |
Terms and Conditions
1. This Invoice is issued by the Doctor General Practitioner operating under the medical regulations of Japan Osaka. All services rendered comply with the standards set by the Japan Medical Association.
2. Payment is due within 30 days from the date of issue. Late payments may incur a 1.5% monthly interest charge.
3. Insurance claims have been processed according to the patient's policy with Osaka Mutual Health Insurance. Any discrepancies should be reported within 14 days.
4. For questions regarding this Invoice or your medical treatment, please contact our billing department at +81-6-6345-8899 or visit our clinic in Japan Osaka during business hours (Monday to Friday, 9:00 AM - 6:00 PM).
5. All medical records and billing information are handled in strict confidentiality in accordance with Japanese privacy laws.
Payment Methods
- Bank Transfer: Osaka City Bank, Account No. 1234567890
- Credit Card: Visa, Mastercard, JCB accepted
- Cash: Accepted at the clinic in Japan Osaka
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