Invoice Nurse in Philippines Manila –Free Word Template Download with AI
Unit 405, Medical Center Tower, Ortigas Avenue
Pasig City, Metro Manila, Philippines 1605
TIN: 000-123-456-000
Email: [email protected]
Phone: +63 (2) 8888-1234
Invoice Number: INV-2023-10-089
Date Issued: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14 Days
Bill To:
Client Name: Santos Family Trust
Attn: Maria Santos (Primary Caregiver)
Address: 123 Makati Avenue, Barangay Bel-Air
Makati City, Metro Manila, Philippines 1226
Contact: +63 (917) 555-0199
Service Period & Patient Info:
Service Period: October 01, 2023 – October 31, 2023
Patient Name: Jose Santos
Location of Service: Private Residence, Makati City, Philippines Manila
Assigned Nurse: RN Elena Cruz, R.N., BSN
PRC License No: 1234567
| # | Description of Nursing Services | Hours / Units | Rate (PHP) | Amount (PHP) |
|---|---|---|---|---|
| 1 |
24-Hour Private Duty Nursing Care Comprehensive in-home nursing care provided in Manila. Includes vital signs monitoring, medication administration, wound care management, and assistance with activities of daily living (ADLs). |
720 Hours | 450.00 | 324,000.00 |
| 2 |
Specialized Post-Operative Care Specialized nursing interventions for post-surgical recovery. Includes incision site assessment, pain management protocols, and mobility assistance to prevent complications. |
40 Hours | 600.00 | 24,000.00 |
| 3 |
Medical Equipment Setup & Maintenance Setup and daily maintenance of oxygen concentrators, suction machines, and IV pumps within the patient's residence in Metro Manila. |
1 Unit | 5,000.00 | 5,000.00 |
| 4 |
Family Caregiver Training Educational sessions for family members on basic nursing care, emergency response, and medication schedules. |
4 Sessions | 1,500.00 | 6,000.00 |
| 5 |
Travel & Logistics Surcharge Transportation allowance for the nurse traveling within the Philippines Manila area to reach the client's residence in Makati. |
1 Month | 3,000.00 | 3,000.00 |
Payment Instructions:
Please remit payment via bank transfer to the following account:
Bank Name: BDO Unibank
Branch: Ortigas Center Branch, Philippines Manila
Account Name: Manila Premier Nursing Care Inc.
Account Number: 1234-5678-9012
Reference: Please use Invoice Number INV-2023-10-089 as the reference.
Note: Late payments may incur a penalty of 1.5% per month on the outstanding balance.
Terms and Conditions:
- This invoice covers professional nursing services rendered in accordance with the standards set by the Philippine Nursing Regulatory Act.
- All services were performed at the client's designated location within Metro Manila.
- The assigned nurse is a licensed professional registered with the Professional Regulation Commission (PRC) of the Philippines.
- Any additional medical supplies or medications purchased on behalf of the patient are billed separately unless specified otherwise.
- Cancellation of services requires a 48-hour notice. Failure to provide notice may result in charges for the scheduled shift.
- This document serves as an official receipt for tax purposes in the Philippines.
Authorized By:
RN Elena Cruz
Head Nurse
Received By:
Maria Santos
Client Representative
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