Invoice Doctor General Practitioner in Turkey Ankara –Free Word Template Download with AI

Medical License No: 12345
Chamber of Physicians Registration: 67890
Tax ID (VKN): 1234567890
Address: Kizilay Mahallesi, Ataturk Bulvari No: 45, Kat: 3
Cankaya, 06420 Ankara, Turkey

INVOICE

Invoice Number: INV-2023-10-001

Date of Issue: October 24, 2023

Due Date: November 07, 2023

Service Provider

Dr. Ahmet Yilmaz
Doctor General Practitioner
Private Medical Practice
Cankaya District
Ankara, Turkey
Phone: +90 (312) 555-0123
Email: [email protected]

Bill To

Mehmet Demir
Patient ID: P-98765
Address: Gaziosmanpasa Mahallesi, 123. Sokak No: 8
Yesilkoy, 06520 Ankara, Turkey
Phone: +90 (532) 111-2233
Insurance Provider: Anadolu Sigorta (Private)
Policy Number: AS-99887766

Medical Services Rendered

The following Invoice details the professional medical services provided by the Doctor General Practitioner in Ankara, Turkey. These services adhere to the standards set by the Ministry of Health of the Republic of Turkey and the Ankara Chamber of Physicians.

Description of Service	ICD-10 / Procedure Code	Date	Quantity	Unit Price (TRY)	Total (TRY)
Initial Consultation - General Practice Comprehensive health assessment, history taking, and physical examination conducted at the Ankara clinic.	Z00.00	Oct 24, 2023	1	750.00	750.00
Diagnostic Blood Panel Complete Blood Count (CBC), Metabolic Panel, and Lipid Profile analysis ordered by the Doctor General Practitioner.	80053	Oct 24, 2023	1	450.00	450.00
Electrocardiogram (ECG) Standard 12-lead ECG performed to assess cardiac rhythm and function.	93000	Oct 24, 2023	1	300.00	300.00
Prescription Management Electronic prescription issuance via the Ministry of Health e-Nabiz system for prescribed medication.	G-Code	Oct 24, 2023	1	100.00	100.00
Follow-up Consultation Review of diagnostic results and adjustment of treatment plan by the Doctor General Practitioner.	Z09	Oct 24, 2023	1	500.00	500.00

Subtotal: 2,100.00 TRY Value Added Tax (KDV) 1%: 21.00 TRY Insurance Coverage (Anadolu Sigorta): -1,500.00 TRY Amount Due (Net): 621.00 TRY

Important Notes & Payment Terms:

Currency: All amounts are listed in Turkish Lira (TRY).
Payment Methods: Payments can be made via bank transfer to Garanti BBVA (IBAN: TR12 0006 2000 1234 5678 9012 34), credit card at the clinic in Ankara, or via mobile payment apps.
Tax Information: This Invoice is issued in accordance with the Turkish Tax Procedure Law. The 1% KDV (Value Added Tax) is applied as per the current regulations for private medical services in Turkey.
Validity: This document serves as an official receipt for the services provided by the Doctor General Practitioner. Please retain this Invoice for your personal records and insurance claims.
Disputes: Any discrepancies regarding the charges must be reported within 15 days of the invoice date to the clinic administration in Ankara.

Authorized Signature

Dr. Ahmet Yilmaz
Doctor General Practitioner
Ankara, Turkey ⬇️ Download as DOCX Edit online as DOCX

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