Invoice Midwife in Algeria Algiers –Free Word Template Download with AI
Professional Midwife: Dr. Amina Benali
License No: ALG-MID-2023-8842
Address: 15 Rue Didouche Mourad, Hydra, Algiers, Algeria
Phone: +213 21 60 12 34 | Email: [email protected]
NIF: 001234567890123 | NIS: 00123456789
Invoice #: INV-2023-10-045
Date: October 24, 2023
Due Date: November 24, 2023
Payment Terms: Net 30 Days
Bill To
Client Name: Mrs. Fatima Zahra Khelifi
Address: 42 Boulevard Mohamed V, El Biar, Algiers, Algeria
Phone: +213 555 123 456
Email: [email protected]
Insurance Provider: CNAS (Caisse Nationale des Assurances Sociales)
Policy Number: CNAS-ALG-998877
Service Location
Location: Private Home Delivery & Consultation
Address: Same as Billing Address
City: Algiers, Algeria
Region: Algiers Province
Country: Algeria
| # | Description of Midwifery Services | Quantity | Unit Price (DZD) | Total (DZD) |
|---|---|---|---|---|
| 1 |
Initial Prenatal Consultation & Assessment Comprehensive health evaluation, medical history review, and personalized care plan development for expectant mother in Algiers. Includes risk assessment and nutritional guidance. |
1 | 8,500.00 | 8,500.00 |
| 2 |
Monthly Prenatal Visits (Second & Third Trimester) Regular monitoring of fetal development, maternal health checks, blood pressure monitoring, urine tests, and educational sessions on labor preparation. Provided at client's residence in Algiers. |
6 | 6,000.00 | 36,000.00 |
| 3 |
Ultrasound Coordination & Interpretation Support Assistance with scheduling and preliminary interpretation of routine ultrasounds performed at certified clinics in Algiers, Algeria. Includes documentation and reporting. |
3 | 4,500.00 | 13,500.00 |
| 4 |
Birth Preparation & Education Classes One-on-one sessions covering breathing techniques, pain management strategies, stages of labor, and newborn care basics. Tailored to cultural practices in Algeria. |
4 | 5,000.00 | 20,000.00 |
| 5 |
Home Birth Attendance & Delivery Services Full midwifery care during labor and delivery at home in Algiers. Includes continuous support, monitoring of vital signs, assistance with birth, immediate newborn care, and placenta management. |
1 | 45,000.00 | 45,000.00 |
| 6 |
Postpartum Care Visits (First 6 Weeks) Follow-up visits for mother and newborn including breastfeeding support, wound care, emotional well-being assessment, and growth monitoring. Conducted in Algiers residence. |
5 | 7,000.00 | 35,000.00 |
| 7 |
Emergency On-Call Availability (24/7) Guaranteed availability for urgent consultations or complications during pregnancy, labor, and postpartum period within Algiers metropolitan area. |
1 | 15,000.00 | 15,000.00 |
| 8 |
Medical Documentation & Certification Preparation of official birth records, health certificates, and reports required by Algerian health authorities and CNAS for reimbursement purposes. |
1 | 5,000.00 | 5,000.00 |
| Subtotal: | 178,000.00 DZD |
| VAT (19%): | 33,820.00 DZD |
| Discount (Early Payment): | -5,000.00 DZD |
| TOTAL AMOUNT DUE: | 206,820.00 DZD |
Payment Instructions
Currency: Algerian Dinar (DZD)
Bank Transfer:
Bank Name: Banque Nationale d'Algérie (BNA)
Branch: Hydra, Algiers
Account Name: Dr. Amina Benali - Midwifery Services
Account Number: 0012345678901234567890
IBAN: DZ00 0012 3456 7890 1234 5678 90
Cash Payment: Accepted in person at our Algiers office or during scheduled visits.
Reference: Please include Invoice Number INV-2023-10-045 with your payment.
Terms and Conditions
1. This invoice is issued in accordance with Algerian tax regulations and professional midwifery standards. All services are provided by a licensed midwife registered with the Algerian Order of Midwives.
2. Payment is due within 30 days of the invoice date. Late payments may incur a penalty of 2% per month on the outstanding balance.
3. All midwifery services are performed with the highest standards of care, confidentiality, and professionalism. Client health information is protected under Algerian medical privacy laws.
4. In case of medical emergencies requiring hospitalization, the midwife will coordinate with appropriate healthcare facilities in Algiers. Additional hospital fees are not included in this invoice.
5. CNAS reimbursement claims can be supported with this invoice and accompanying medical documentation. Clients are responsible for submitting claims to their insurance provider.
6. Cancellation of scheduled appointments must be made at least 24 hours in advance. Late cancellations or no-shows may be subject to a fee of 50% of the scheduled service cost.
7. This invoice is valid for tax deduction purposes in Algeria. Please retain a copy for your records.
8. Any disputes regarding this invoice should be resolved through direct communication with the service provider. If unresolved, matters will be subject to the jurisdiction of Algiers courts.
Authorized Signature
Dr. Amina Benali
Licensed Midwife
Algiers Maternal Care & Midwifery Services
Client Acknowledgment
Mrs. Fatima Zahra Khelifi
Date: _______________
Signature: _______________
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