Invoice Midwife in Iran Tehran –Free Word Template Download with AI
Specialized Maternal & Neonatal Care
Address: Valiasr Street, Block 15, No. 42, Tehran, Iran
Phone: +98 21 8888 7777
Email: [email protected]
Tax ID (Shenaseh Melli): 10104567890
Invoice #: INV-TR-2023-089
Date: October 24, 2023
Due Date: November 24, 2023
Service Location: Tehran, Iran
Bill To:
Ms. Sarah Ahmadi
Residential Address: Enghelab Ave, Unit 12, Tehran, Iran
Phone: +98 912 345 6789
National ID: 0012345678
Service Provided For:
Patient Name: Ms. Sarah Ahmadi
Service Type: Comprehensive Midwifery Care
Insurance Provider: Iran Insurance Company
Policy Number: INS-IR-998877
| Description of Midwifery Services | Quantity | Unit Price (IRR) | Total (IRR) |
|---|---|---|---|
|
Initial Prenatal Consultation & Assessment Comprehensive health evaluation, medical history review, and personalized care plan development conducted at our Tehran clinic. |
1 | 2,500,000 | 2,500,000 |
|
Monthly Prenatal Visits (Trimester 1 & 2) Regular monitoring of maternal and fetal health, including blood pressure checks, fetal heart rate monitoring, and nutritional guidance. |
6 | 1,800,000 | 10,800,000 |
|
Bi-Weekly Prenatal Visits (Trimester 3) Increased frequency monitoring as pregnancy progresses, including pelvic exams and preparation for labor. |
4 | 2,000,000 | 8,000,000 |
|
Labor & Delivery Midwifery Care Continuous support during labor, pain management techniques, delivery assistance, and immediate newborn care. |
1 | 15,000,000 | 15,000,000 |
|
Postpartum Home Visit Package Three home visits within the first two weeks after delivery to monitor mother's recovery and newborn's health in the comfort of your Tehran residence. |
3 | 1,500,000 | 4,500,000 |
|
Neonatal Care & Breastfeeding Support Professional guidance on breastfeeding techniques, newborn care, and early developmental milestones. |
2 | 1,200,000 | 2,400,000 |
|
Emergency On-Call Service Fee 24/7 availability of certified midwife for urgent consultations or emergencies throughout the pregnancy period. |
1 | 3,000,000 | 3,000,000 |
|
Medical Documentation & Records Preparation and maintenance of complete medical records, birth certificates assistance, and insurance documentation. |
1 | 500,000 | 500,000 |
Important Notes & Payment Instructions:
This invoice represents the professional midwifery services provided by Noor Midwifery Clinic in Tehran, Iran. All services were rendered in accordance with the highest standards of maternal care and Iranian healthcare regulations.
Payment Methods:
- Bank Transfer: Bank Melli Iran, Account No. 1234567890123456
- Cash Payment: Accepted at our clinic office in Tehran
- Installment Plan: Available upon request for amounts exceeding 10,000,000 IRR
Please include the invoice number (INV-TR-2023-089) as a reference when making your payment. Late payments may incur a 2% monthly interest charge. For any questions regarding this invoice or the midwifery services provided, please contact our billing department at +98 21 8888 7777.
Thank you for trusting our certified midwives with your maternal healthcare needs in Tehran, Iran. We are committed to providing compassionate, professional, and culturally sensitive care throughout your pregnancy journey and beyond.
Authorized Signature
Dr. Maryam Rezaei, RN, Midwife
Clinic Director
Client Acknowledgment
Signature:
Date:
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