Invoice Midwife in India Bangalore –Free Word Template Download with AI
Registered Midwife Practice
No. 42, 3rd Cross, Indiranagar 1st Stage
Bangalore, Karnataka - 560038, India
Phone: +91 80 4123 4567
Email: [email protected]
GSTIN: 29ABCDE1234F1Z5
Registration No: KMC/MW/2019/4587
Invoice Number: INV-BLR-MW-2024-0892
Date of Issue: January 15, 2024
Due Date: January 30, 2024
Service Period: October 1, 2023 - January 15, 2024
Bill To:
Ms. Priya Sharma
Flat No. 12B, Green Valley Apartments
Whitefield Main Road, Bangalore - 560066
Karnataka, India
Phone: +91 98765 43210
Email: [email protected]
Patient ID: PAT-BLR-2023-4521
Service Location:
Home Birth Services & Clinic Visits
Primary Location: Client Residence, Whitefield
Secondary Location: Bangalore Maternal Care Clinic
Indiranagar, Bangalore, Karnataka
Emergency Contact: Dr. Rajesh Kumar (OB-GYN)
Phone: +91 80 2345 6789
| # | Description of Midwifery Services | Quantity | Unit Price (INR) | Amount (INR) |
|---|---|---|---|---|
| 1 |
Initial Consultation & Care Plan Development Comprehensive assessment, medical history review, birth plan creation, and personalized midwifery care strategy for pregnancy management in Bangalore. |
1 | 3,500.00 | 3,500.00 |
| 2 |
Antenatal Care Visits (First Trimester) Four scheduled prenatal check-ups including vital signs monitoring, fetal heart rate assessment, nutritional counseling, and pregnancy education sessions. |
4 | 2,000.00 | 8,000.00 |
| 3 |
Antenatal Care Visits (Second Trimester) Six scheduled prenatal appointments with growth monitoring, position checks, labor preparation guidance, and continuous emotional support throughout pregnancy. |
6 | 2,200.00 | 13,200.00 |
| 4 |
Antenatal Care Visits (Third Trimester) Eight intensive prenatal visits including weekly monitoring, birth readiness assessment, emergency planning, and coordination with Bangalore healthcare facilities. |
8 | 2,500.00 | 20,000.00 |
| 5 |
Home Birth Attending Services Complete midwifery attendance during home birth including labor support, delivery assistance, newborn initial care, and immediate postpartum monitoring. |
1 | 25,000.00 | 25,000.00 |
| 6 |
Postnatal Care Package (Mother) Six postpartum home visits for maternal recovery assessment, breastfeeding support, wound care, mental health screening, and nutritional guidance. |
6 | 1,800.00 | 10,800.00 |
| 7 |
Newborn Care Services Comprehensive newborn assessment during each postnatal visit including weight monitoring, umbilical cord care, jaundice screening, and feeding guidance. |
6 | 1,200.00 | 7,200.00 |
| 8 |
24/7 On-Call Midwifery Support Continuous availability for emergencies, labor onset support, and urgent consultations throughout pregnancy and postpartum period in Bangalore region. |
1 | 8,000.00 | 8,000.00 |
| 9 |
Breastfeeding Counseling & Lactation Support Specialized sessions for breastfeeding initiation, troubleshooting feeding issues, and ensuring proper milk supply and infant nutrition. |
3 | 1,500.00 | 4,500.00 |
| 10 |
Medical Records & Documentation Complete pregnancy and birth records, immunization tracking, and official documentation as per Karnataka Medical Council and Indian healthcare regulations. |
1 | 2,000.00 | 2,000.00 |
Amount in words: One Lakh Twenty-Eight Thousand Five Hundred Ninety-Six Indian Rupees Only
Payment Instructions:
Bank Transfer Details:
Account Name: Bangalore Maternal Care & Midwifery Services Pvt. Ltd.
Bank Name: State Bank of India
Branch: Indiranagar, Bangalore
Account Number: 30589245671234
IFSC Code: SBIN0012345
UPI ID: bangaloremidwife@upi
Payment Terms: Payment is due within 15 days of invoice date. A late fee of 2% per month will be applied to overdue balances. Insurance claims can be processed directly with our billing department.
Important Notes & Terms:
1. This invoice covers all midwifery services rendered as per the care agreement signed on September 15, 2023, between Bangalore Maternal Care & Midwifery Services and the client.
2. All services are provided by registered midwives licensed under the Karnataka Medical Council and comply with the Indian Nursing Council regulations for midwifery practice.
3. In case of medical complications requiring hospital transfer, additional charges may apply for coordination services with Bangalore healthcare facilities.
4. GST is applicable as per the Government of India tax regulations for healthcare services. Tax invoice can be provided upon request.
5. Please retain this invoice for your records and insurance purposes. Duplicate invoices can be requested via email.
6. For any queries regarding this invoice or services rendered, please contact our billing department at [email protected] or call +91 80 4123 4567.
7. This document serves as an official record of midwifery services provided in Bangalore, Karnataka, India, and may be required for birth registration and medical records.
Authorized SignatureMs. Lakshmi Narayanan
Lead Midwife & Practice Owner
Bangalore Maternal Care & Midwifery Services Client Acknowledgment
Ms. Priya Sharma
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
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