Invoice Nurse in India New Delhi –Free Word Template Download with AI
Registered Office: 42, Connaught Place, New Delhi, India - 110001
Phone: +91-11-2345-6789 | Email: [email protected]
GSTIN: 07AABCD1234E1Z5 | PAN: AABCD1234E
License No: DL/NURSE/2023/12345
Invoice No: DCN/INV/2024/0892
Date: October 15, 2024
Due Date: October 30, 2024
Service Period: October 1 - October 15, 2024
Bill To:
Mr. Rajesh Kumar Sharma
Flat No. 304, Green Park Apartments
Sector 18, Noida Extension, New Delhi, India - 110016
Phone: +91-98765-43210
Email: [email protected]
GSTIN: 07EFGHI5678J1Z9
Service Details:
Patient Name: Mrs. Sunita Sharma
Assigned Nurse: Ms. Priya Verma (RN, B.Sc. Nursing)
Nurse Registration No: DLN/2019/45678
Service Type: Post-Operative Home Nursing Care
Location: Patient Residence, New Delhi, India
| Item No. | Description of Nursing Services | Quantity | Rate (INR) | Amount (INR) |
|---|---|---|---|---|
| 1 | Professional Nursing Consultation and Care Plan Development for post-operative recovery in New Delhi residence | 1 | 2,500.00 | 2,500.00 |
| 2 | Daily Vital Signs Monitoring (Blood Pressure, Pulse, Temperature, Respiration) - 15 Days | 15 | 800.00 | 12,000.00 |
| 3 | Wound Care and Dressing Change Services by Registered Nurse | 10 | 1,200.00 | 12,000.00 |
| 4 | Medication Administration and Management (Oral and Injectable) | 15 | 600.00 | 9,000.00 |
| 5 | Patient Mobility Assistance and Physical Rehabilitation Support | 15 | 700.00 | 10,500.00 |
| 6 | Emergency Response and On-Call Nursing Support (24/7 Coverage) | 1 | 3,000.00 | 3,000.00 |
| 7 | Family Education and Caregiver Training Sessions | 3 | 1,000.00 | 3,000.00 |
| 8 | Travel Charges within New Delhi Metropolitan Area | 15 | 200.00 | 3,000.00 |
| 9 | Medical Supplies and Consumables (Dressings, Gloves, Antiseptics) | 1 | 2,500.00 | 2,500.00 |
| 10 | Comprehensive Progress Report and Discharge Summary Preparation | 1 | 1,500.00 | 1,500.00 |
Amount in Words: Seventy-One Thousand Six Hundred Twenty Indian Rupees Only
Payment Instructions:
Please make payment within 15 days from the invoice date to avoid late fees.
Bank Name: State Bank of India
Branch: Connaught Place, New Delhi
Account Name: Delhi Care Nursing Services Pvt. Ltd.
Account Number: 30587654321
IFSC Code: SBIN0001234
UPI ID: delhicarenursing@upi
Cheque Payable To: Delhi Care Nursing Services Pvt. Ltd.
Terms and Conditions:
1. This invoice is issued in accordance with the Goods and Services Tax (GST) Act, 2017, applicable in India.
2. All nursing services provided are performed by registered and licensed nurses as per the Indian Nursing Council regulations.
3. Payment is due within 15 days. A late fee of 2% per month will be applied to overdue balances.
4. Services are rendered at the patient's residence in New Delhi, India. Additional travel charges may apply for locations outside the metropolitan area.
5. Any disputes regarding this invoice must be raised within 7 days of receipt. Legal jurisdiction is New Delhi, India.
6. This invoice serves as proof of professional nursing services rendered and may be used for insurance claims and tax purposes.
7. All medical information shared during nursing care is confidential and protected under Indian privacy laws.
8. The assigned nurse, Ms. Priya Verma, is fully insured and certified to provide home healthcare services in India.
Authorized Signatory
Delhi Care Nursing Services
New Delhi, India
Received By
Client Signature
Date
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