Invoice Midwife in Tanzania Dar es Salaam –Free Word Template Download with AI
Registered Midwife: Amina Juma, BSc Nursing & Midwifery
License No: NMC-TZ-2023-8842
Address: Plot 45, Msasani Peninsula, Off Ocean Road
City: Dar es Salaam, Tanzania
Phone: +255 712 345 678
Email: [email protected]
Invoice #: INV-2023-10-042
Date: October 24, 2023
Due Date: November 07, 2023
Status: PENDING
Bill To:
Client Name: Sarah Mwangi
Address: House 12, Masaki Peninsula
City: Dar es Salaam, Tanzania
Phone: +255 755 123 456
Insurance Provider: Jubilee Health Insurance
Policy Number: JHI-99887766
Group ID: CORP-TZ-554
Professional Midwifery Services Rendered
The following invoice details the comprehensive care provided by a certified midwife in accordance with the standards set by the Nursing and Midwifery Council of Tanzania. Services were rendered at the Coastal Care Clinic in Dar es Salaam.
| # | Description of Service | Date | Amount (TZS) |
|---|---|---|---|
| 1 |
Initial Prenatal Consultation & Risk Assessment Comprehensive intake interview, medical history review, and initial physical examination to establish a care plan for the pregnancy. |
Oct 01, 2023 | 150,000 |
| 2 |
Antenatal Care (ANC) Visits (Package of 4) Routine monitoring including blood pressure checks, fetal heart rate monitoring, fundal height measurement, and nutritional counseling. |
Oct 05 - Oct 20, 2023 | 400,000 |
| 3 |
Ultrasound Coordination & Interpretation Coordination of diagnostic imaging and professional interpretation of fetal growth and positioning by the midwife. |
Oct 12, 2023 | 75,000 |
| 4 |
Maternal Education Workshop One-on-one session regarding labor stages, breathing techniques, and postpartum recovery specific to local practices in Dar es Salaam. |
Oct 15, 2023 | 100,000 |
| 5 |
Home Visit for High-Risk Monitoring Travel and consultation fee for a midwife home visit to monitor maternal vitals and fetal movement in the client's residence. |
Oct 18, 2023 | 120,000 |
| 6 |
Birth Plan Development Collaborative creation of a detailed birth plan respecting cultural preferences and medical safety standards. |
Oct 22, 2023 | 80,000 |
Payment Instructions & Terms
Payment is due within 14 days of the invoice date. Please make payments in Tanzanian Shillings (TZS).
Bank Transfer Details:
- Bank: CRDB Bank Tanzania
- Branch: Masaki Branch, Dar es Salaam
- Account Name: Coastal Care Midwifery Services Ltd
- Account Number: 0123456789012
- Reference: INV-2023-10-042
Mobile Money: Payments via M-Pesa or Tigo Pesa are accepted. Please send to +255 712 345 678.
Late payments may incur a penalty fee of 2% per month. Please contact our office in Dar es Salaam if you have any questions regarding this invoice or the midwifery services provided.
Authorized By:
Amina Juma, RN, Midwife
Coastal Care Midwifery Services
Received By:
__________________________
Date: ______________________
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT