Invoice Midwife in Senegal Dakar –Free Word Template Download with AI
Provider: Madame Aminata Ndiaye, Certified Midwife
Address: 12 Avenue Cheikh Anta Diop, Sacré-Cœur
Dakar, Senegal
Phone: +221 33 825 12 34
Email: [email protected]
Reg. No: SN-MID-2023-8891
Invoice Number: INV-2023-10-045
Date Issued: October 24, 2023
Due Date: November 07, 2023
BILL TO:
Client Name: Mr. & Mrs. Ousmane Ba
Address: 45 Rue de Thiong, Almadies
Dakar, Senegal
Phone: +221 77 456 78 90
Email: [email protected]
SERVICE LOCATION:
Location: Private Residence
45 Rue de Thiong, Almadies
Dakar, Senegal
Service Period: September 01, 2023 - October 20, 2023
| # | Description of Midwifery Services | Quantity / Hours | Unit Price (XOF) | Total (XOF) |
|---|---|---|---|---|
| 1 |
Comprehensive Prenatal Consultation Package Includes initial risk assessment, physical examination, and personalized care plan development tailored to the specific healthcare standards of Senegal. |
1 | 75,000 | 75,000 |
| 2 |
Monthly Prenatal Monitoring Visits Regular check-ups conducted at the client's residence in Dakar to monitor fetal development, maternal blood pressure, and nutritional status. Includes ultrasound coordination. |
4 | 45,000 | 180,000 |
| 3 |
Birth Preparation and Education Workshop One-on-one sessions covering breathing techniques, pain management strategies, and postpartum care expectations, specifically designed for the family unit. |
3 | 30,000 | 90,000 |
| 4 |
Home Birth Attendant Services Full attendance during labor and delivery at the client's home in Dakar. Includes management of the first stage of labor, sterile delivery assistance, and immediate newborn care. |
1 | 350,000 | 350,000 |
| 5 |
Postpartum Recovery Support Immediate post-delivery care for mother and newborn, including umbilical cord care, breastfeeding initiation support, and monitoring for complications for 48 hours. |
1 | 120,000 | 120,000 |
| 6 |
Emergency Transport Coordination Standby service for potential transfer to a hospital in Dakar if complications arise, including liaison with medical facilities and ambulance services. |
1 | 50,000 | 50,000 |
| 7 |
Medical Supplies and Sterile Equipment Provision of sterile delivery kit, gloves, antiseptics, and newborn care essentials used during the home birth service. |
1 | 40,000 | 40,000 |
Terms and Conditions & Payment Instructions
This invoice represents the professional fees for midwifery services rendered in Dakar, Senegal. Payment is due within 14 days of the invoice date. Late payments may incur a penalty of 2% per month.
Payment Methods:
- Bank Transfer: Ecobank Senegal, Account No: 1234567890, IBAN: SN00 1234 5678 9012 3456 7890
- Mobile Money: Wave / Orange Money to +221 77 456 78 90
- Cash: Accepted upon presentation of this invoice at the office in Sacré-Cœur, Dakar.
Please reference Invoice Number INV-2023-10-045 with all payments. All services were performed in accordance with the regulations set by the Order of Midwives of Senegal.
Authorized Signature
Mme. Aminata Ndiaye
Certified Midwife
Client Acceptance
Mr. Ousmane Ba
Date: _______________
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT