Invoice Nurse in Thailand Bangkok –Free Word Template Download with AI
Professional Healthcare & Nursing Solutions
123 Sukhumvit Road, Khlong Toei Nuea
Watthana District, Bangkok 10110, Thailand
Tax ID: 0105559001234
Tel: +66 2 123 4567 | Email: [email protected]
License No. 10/2567 (Ministry of Public Health)
OFFICIAL INVOICEInvoice No: INV-BKK-2024-0892
Date: October 24, 2024
Due Date: November 24, 2024
Service Period: October 1 - October 31, 2024
Bill To:
Mr. Somchai Jantarat
Director, Jantarat Family Trust
456 Phahonyothin Road, Chatuchak
Bangkok 10900, Thailand
Tel: +66 89 123 4567
Email: [email protected]
Service Location:
Residential Care Facility
789 Rama IV Road, Pathum Wan
Bangkok 10330, Thailand
Note: All nursing services rendered at this Bangkok address.
| # | Description of Nursing Services | Hours | Rate (THB) | Amount (THB) | VAT 7% |
|---|---|---|---|---|---|
| 1 |
Senior Nurse - 24/7 In-House Care Provided by Registered Nurse (RN) licensed in Thailand. Includes vital signs monitoring, medication administration, wound care, and patient mobility assistance at Bangkok residence. |
720 | 850.00 | 612,000.00 | 42,840.00 |
| 2 |
Specialized Geriatric Nursing Advanced care for elderly patient with chronic conditions. Includes diabetes management, hypertension monitoring, and personalized care plan implementation per Thai medical standards. |
160 | 1,200.00 | 192,000.00 | 13,440.00 |
| 3 |
Night Shift Nursing Coverage Dedicated night nurse services (10 PM - 6 AM) ensuring continuous patient safety and emergency response capability in Bangkok metropolitan area. |
240 | 950.00 | 228,000.00 | 15,960.00 |
| 4 |
Medical Equipment & Supplies Provision of nursing supplies including IV fluids, bandages, catheters, glucose monitors, and other essential medical materials used during service period. |
- | - | 45,500.00 | 3,185.00 |
| 5 |
Emergency Response & Coordination Coordination with Bangkok hospitals and clinics for emergency referrals, doctor consultations, and medical record management. |
20 | 1,500.00 | 30,000.00 | 2,100.00 |
| 6 |
Family Care Consultation Weekly meetings with family members to discuss patient progress, care adjustments, and health education sessions conducted in Bangkok. |
8 | 1,000.00 | 8,000.00 | 560.00 |
One Million One Hundred Seventy-Eight Thousand Five Hundred Eighty-Five Baht Only
Payment Instructions
Bank Transfer Details:
Bank: Bangkok Bank Public Company Limited
Branch: Sukhumvit 21 Branch, Bangkok
Account Name: Bangkok Elite Nursing Services Co., Ltd.
Account Number: 123-4-56789-0
SWIFT Code: BKKBTHBK
Payment Terms: Payment is due within 30 days from the invoice date. Late payments will incur a 1.5% monthly interest charge.
Reference: Please include Invoice No. INV-BKK-2024-0892 in your payment reference.
Terms & Conditions
1. All nursing services are provided by qualified nurses licensed by the Nursing Council of Thailand.
2. Services are rendered in accordance with Thai healthcare regulations and professional nursing standards.
3. This invoice covers nursing services provided exclusively within Bangkok, Thailand during the specified period.
4. Any additional services requested outside the agreed scope will be billed separately.
5. Medical emergencies requiring hospitalization may incur additional coordination fees.
6. All patient information is kept confidential per Thai Personal Data Protection Act (PDPA).
7. Disputes must be raised within 14 days of receiving this invoice.
8. This document serves as an official tax invoice for accounting purposes in Thailand.
Authorized by:
Dr. Niran SrisawatMedical Director
Bangkok Elite Nursing Services
Received by:
_________________________Name & Signature
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