Invoice Nurse in Russia Saint Petersburg –Free Word Template Download with AI
Professional Nursing & Home Care Agency
191025, Russia, Saint Petersburg
Nevsky Prospekt, 120, Office 4B
Tax ID (INN): 7801234567
KPP: 780101001
Email: [email protected]
Phone: +7 (812) 555-01-99
Invoice Number: INV-RU-SPB-2023-0892
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14 Days
Bill To:
Client Name: Elena Petrovna Sokolova
Address: 197110, Russia, Saint Petersburg
Vasileostrovsky District, 6th Line, 45, Apt 12
Contact: +7 (921) 555-88-77
Email: [email protected]
Service Location:
Same as Billing Address
Patient Name: Ivan Ivanovich Sokolov
Service Type: Post-Operative Home Nursing Care
Duration: October 01, 2023 - October 23, 2023
| # | Description of Nursing Services | Hours / Units | Rate (RUB) | Amount (RUB) |
|---|---|---|---|---|
| 1 |
Specialized Post-Operative Nursing Care Provision of professional medical assistance by a certified nurse in Saint Petersburg. Services included wound dressing changes, monitoring of vital signs (blood pressure, heart rate, temperature), and administration of prescribed intravenous medications. This service ensures patient safety and recovery compliance within the home environment. |
168 | 1,500.00 | 252,000.00 |
| 2 |
Patient Mobility and Rehabilitation Support Assistance with patient mobilization, transfer techniques, and basic physical therapy exercises as directed by the attending physician. The nurse provided support to prevent bedsores and maintain muscle tone during the recovery period in the Vasileostrovsky District residence. |
40 | 1,200.00 | 48,000.00 |
| 3 |
Medical Equipment Management and Sterilization Setup, maintenance, and daily sterilization of home medical equipment including IV pumps, oxygen concentrators, and monitoring devices. Ensuring all equipment met the sanitary standards required for healthcare services in Russia. |
1 | 15,000.00 | 15,000.00 |
| 4 |
Emergency Night Shift Coverage On-call nursing availability for emergency medical situations during night hours (22:00 - 06:00). Includes rapid response to patient distress, administration of emergency medication, and coordination with local Saint Petersburg emergency medical services if necessary. |
10 | 2,500.00 | 25,000.00 |
| 5 |
Medical Documentation and Reporting Detailed daily logging of patient progress, medication administration records, and vital sign charts. Preparation of a comprehensive discharge summary report for the attending physician at the City Clinical Hospital No. 31. |
1 | 5,000.00 | 5,000.00 |
Payment Instructions & Terms:
Bank Details for Transfer:
Beneficiary: Neva Medical Care Services LLC
Bank Name: Sberbank of Russia, Saint Petersburg Branch
BIC: 044525225
Account Number: 40702810938000123456
Correspondent Account: 30101810400000000225
Important Notes:
1. Please include the Invoice Number (INV-RU-SPB-2023-0892) in the payment reference field.
2. Payment is expected within 14 days of the invoice date. Late payments may incur a penalty fee of 0.1% per day.
3. All nursing services were performed in accordance with the healthcare regulations of the Russian Federation and local Saint Petersburg health authority guidelines.
4. This invoice is valid for tax deduction purposes. A formal receipt will be issued upon confirmation of payment.
5. If you have any questions regarding the services provided by our nurse or the charges listed, please contact our billing department immediately.
Authorized by:
Dr. Anna Mikhailovna Volkova
Chief Medical Officer
Neva Medical Care Services
Accepted by:
__________________________
Client Signature
Date: ______________
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