Invoice Nurse in India Bangalore –Free Word Template Download with AI
Specialized Nursing Recruitment & Contract Services
No. 42, 3rd Main Road, Indiranagar
Bangalore, Karnataka - 560038
India
GSTIN: 29ABCDE1234F1Z5
Email: [email protected] | Phone: +91 80 2555 0199
Invoice #: INV-BLR-2023-0892
Date: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14 Days
Bill To:
Fortis Healthcare Ltd. (Bangalore Branch)
Fortis Hospital, Bannerghatta Road
Haralur Road, Bannerghatta Main Road
Bangalore, Karnataka - 560076
Attn: Mr. Rajesh Kumar, Head of Procurement
GSTIN: 29AABCF1234G1Z9
Dear Mr. Kumar,
Please find attached the formal Invoice for the professional nursing services rendered during the billing cycle of October 1st to October 31st, 2023. As per our service level agreement, Devara Medical Staffing Solutions is pleased to provide this detailed breakdown of costs associated with the deployment of qualified Nurse personnel at your facility in India Bangalore.
This document serves as an official request for payment for the temporary staffing solutions provided to support your critical care and general ward requirements. All rates listed below are inclusive of applicable statutory deductions and are compliant with the labor laws of Karnataka and the Goods and Services Tax (GST) regulations of India.
| # | Description of Nursing Services | Rate (INR) | Hours/Units | Amount (INR) |
|---|---|---|---|---|
| 1 |
Senior ICU Nurse Deployment Provision of Registered Nurse (RN) with 5+ years experience in Intensive Care Unit. Includes patient monitoring, ventilator management, and medication administration. |
1,200.00 | 160 Hrs | 192,000.00 |
| 2 |
General Ward Staffing Deployment of two General Duty Nurses for 12-hour shifts to assist with patient hygiene, vitals monitoring, and discharge procedures. |
850.00 | 320 Hrs | 272,000.00 |
| 3 |
Night Shift Premium Additional allowance for nursing staff working night shifts (10 PM to 6 AM) as per Karnataka Shops and Establishments Act. |
150.00 | 160 Hrs | 24,000.00 |
| 4 |
Emergency Call-Out Fee Rapid deployment of a specialized Nurse for emergency surge capacity on October 15th. |
5,000.00 | 1 Flat | 5,000.00 |
| 5 |
Recruitment & Onboarding Administrative costs for background verification, medical fitness checks, and orientation of new nursing staff in Bangalore. |
10,000.00 | 1 Flat | 10,000.00 |
Payment Instructions:
Please make the payment via NEFT/RTGS to the following bank account details. Kindly quote the Invoice Number INV-BLR-2023-0892 in the transaction remarks.
Bank Name: State Bank of India
Branch: Indiranagar, Bangalore
Account Name: Devara Medical Staffing Solutions Pvt Ltd
Account Number: 30589201445522
IFSC Code: SBIN0012345
Terms and Conditions:
- Validity: This Invoice is valid for 30 days from the date of issue.
- Late Payment: A late fee of 2% per month will be applied to overdue balances.
- Disputes: Any discrepancies regarding the hours worked by the Nurse staff must be reported within 7 days of receiving this Invoice.
- Jurisdiction: This contract and Invoice are governed by the laws of India, with jurisdiction in the courts of Bangalore, Karnataka.
- Compliance: All nursing staff provided are registered with the Karnataka Nursing and Midwifery Council (KNMC).
Authorized Signatory
Devara Medical Staffing Solutions
(Digital Signature Applied)
Received By
Fortis Healthcare Ltd.
Date: _______________
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT