Invoice Midwife in Nigeria Lagos –Free Word Template Download with AI

Bill To:

Mr. & Mrs. Adebayo Johnson

12 Victoria Island Extension

Lagos, Nigeria

Phone: +234 901 234 5678

Service Details:

Patient Name: Mrs. Adebayo Johnson

Service Period: September 01, 2023 - October 20, 2023

Location of Service: Private Residence, Lagos & Associated Clinic Visits

Reference: Prenatal & Postnatal Care Package

#	Description of Midwifery Services	Quantity / Hours	Unit Price (NGN)	Total (NGN)
1	Initial Comprehensive Prenatal Assessment Detailed consultation regarding medical history, risk assessment, and creation of a personalized birth plan compliant with Nigerian medical standards. Includes initial physical examination and counseling on nutrition in Lagos.	1	45,000.00	45,000.00
2	Regular Antenatal Monitoring Visits (Home & Clinic) Bi-weekly visits to monitor fetal heart rate, maternal blood pressure, and weight gain. Includes education on labor signs and preparation for delivery at a facility in Lagos.	8	25,000.00	200,000.00
3	Ultrasound Coordination and Interpretation Support Professional midwife accompaniment to diagnostic imaging centers in Lagos to ensure accurate tracking of fetal development and immediate interpretation of results for the family.	3	15,000.00	45,000.00
4	Childbirth Education and Preparation Workshop One-on-one session covering breathing techniques, pain management strategies, and postpartum expectations. Tailored to the cultural context of families in Nigeria.	2	30,000.00	60,000.00
5	Emergency On-Call Availability Fee 24/7 standby service ensuring immediate response for labor onset or emergencies within the Lagos metropolitan area during the final trimester.	1	100,000.00	100,000.00
6	Postnatal Care and Lactation Consultation Immediate post-birth support, newborn assessment, and guidance on breastfeeding techniques. Includes follow-up visits to ensure maternal recovery.	4	20,000.00	80,000.00
7	Administrative and Documentation Fees Preparation of birth records, coordination with hospital staff in Lagos, and filing of necessary health documents required by Nigerian authorities.	1	25,000.00	25,000.00

Subtotal: ₦ 555,000.00 VAT (7.5%): ₦ 41,625.00 Discount (Early Bird): - ₦ 20,000.00 TOTAL DUE: ₦ 576,625.00

Payment Instructions & Terms

Bank Transfer Details:

Bank Name: First Bank of Nigeria

Account Name: Lagos Premier Midwifery Care Ltd.

Account Number: 2012345678

Sort Code: 011000001

Please use the Invoice Number (INV-LAG-2023-089) as the payment reference.

Terms and Conditions:

Payment is due within 14 days of the invoice date.
Late payments may incur a penalty fee of 2% per month.
This invoice covers professional midwifery services only; hospital fees and medication costs are billed separately by respective facilities.
All services are rendered by certified midwives registered with the Nursing and Midwifery Council of Nigeria (NMCN).
In the event of a medical emergency requiring hospitalization, the midwife will coordinate care but is not liable for hospital charges.

Authorized Signature

Dr. Funke Adeyemi, RM
Lead Midwife
Lagos Premier Midwifery Care ⬇️ Download as DOCX Edit online as DOCX

Create your own Word template with our GoGPT AI prompt:

GoGPT