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Invoice Midwife in Morocco Casablanca –Free Word Template Download with AI

Provider: Sarah Alami, Certified Midwife

123 Boulevard Mohammed V, Maarif District

Casablanca, Morocco

Phone: +212 522-000-000

Email: [email protected]

Reg. No: 12345/CASA/MID

Invoice Number: INV-2023-0045

Date Issued: October 24, 2023

Due Date: November 07, 2023

Service Period: September 2023 - October 2023

Bill To:

Client Name: Fatima Zahra Bennani

Address: 45 Rue Ibn Sina, Anfa

Casablanca, Morocco

Phone: +212 661-000-000

Email: [email protected]

Service Location:

Home Birth Assistance & Consultation

45 Rue Ibn Sina, Anfa

Casablanca, Morocco

Insurance Ref: CNSS / RAMED (If applicable)

# Description of Midwifery Services Quantity / Hours Unit Price (MAD) Total (MAD)
1 Initial Prenatal Consultation & Risk Assessment
Comprehensive health history review, physical examination, and personalized birth plan creation tailored to the client's needs in Casablanca.
1 Session 800.00 800.00
2 Monthly Prenatal Monitoring Visits
Regular check-ups including fetal heart rate monitoring, blood pressure checks, and nutritional guidance. Includes 4 visits during the third trimester.
4 Visits 500.00 2,000.00
3 Home Birth Attendance & Labor Support
Continuous support during labor, delivery assistance, and immediate postpartum care for both mother and newborn at the client's residence in Casablanca.
1 Event 3,500.00 3,500.00
4 Postpartum Home Visits (First Week)
Daily visits for the first 5 days post-delivery to monitor recovery, assist with breastfeeding, and perform newborn care checks.
5 Visits 400.00 2,000.00
5 Umbilical Cord Care & Newborn Screening
Professional care for the umbilical cord stump and initial screening for common newborn conditions.
1 Service 300.00 300.00
6 Emergency Transport Coordination
Fee for arranging and accompanying the client to the nearest hospital in Casablanca if complications arise (Standby fee).
1 Fee 500.00 500.00
7 Administrative Documentation
Preparation of birth certificates and medical reports required by Moroccan authorities.
1 Service 200.00 200.00
Subtotal: 9,300.00 MAD VAT (20%): 1,860.00 MAD Discount (Early Payment): -300.00 MAD TOTAL DUE: 10,860.00 MAD

Payment Instructions

Please make payment within 14 days of the invoice date. Payments can be made via bank transfer or cash.

Bank Name: Attijariwafa Bank

Account Name: Sarah Alami

IBAN: MA00 0000 0000 0000 0000 0000

SWIFT/BIC: ATBJMAMC

Reference: INV-2023-0045

Terms and Conditions

1. This invoice covers all midwifery services rendered in Casablanca, Morocco, as agreed upon in the service contract dated August 15, 2023.

2. Late payments will incur a penalty of 2% per month on the outstanding balance.

3. In case of medical emergencies requiring hospitalization, additional hospital fees are not included in this invoice and will be billed separately by the healthcare facility.

4. All services are provided in accordance with the Moroccan Ministry of Health regulations for midwives.

5. Please retain this invoice for your records and for any insurance claims.

Authorized Signature

Sarah Alami, Certified Midwife

Client Acceptance

Fatima Zahra Bennani

Midwife Services Casablanca | 123 Boulevard Mohammed V, Maarif, Casablanca, Morocco

Phone: +212 522-000-000 | Email: [email protected]

Thank you for trusting us with your care.

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