Invoice Occupational Therapist in India Mumbai –Free Word Template Download with AI
Lead Occupational Therapist: Dr. Priya Sharma, M.Sc. OT
Reg. No: MH-OT-2024-8892
Office: 404, Horizon Medical Center, Andheri West
Mumbai, Maharashtra, India - 400058
GSTIN: 27AABCU9603R1ZM
Email: [email protected] | Phone: +91-22-4050-1234
Professional Occupational Therapy Services
Bill To:
Mr. Arjun Deshmukh
Flat 12-B, Sea View Apartments
Linking Road, Bandra West
Mumbai, Maharashtra, India - 400050
PAN: ABCDE1234F
Subject: Professional Invoice for Occupational Therapy Rehabilitation Services
This document serves as the official invoice for the specialized occupational therapy services rendered by Mumbai Allied Health Solutions. As a premier healthcare provider in India Mumbai, we are dedicated to enhancing the functional independence and quality of life for our patients. The services detailed below were provided by a certified Occupational Therapist in accordance with the treatment plan established for the patient named above.
Occupational therapy in the Mumbai region focuses on holistic rehabilitation, addressing physical, cognitive, and psychosocial challenges. The sessions billed in this invoice include one-on-one therapeutic interventions, adaptive equipment training, and home environment assessments designed to facilitate daily living activities.
| # | Description of Occupational Therapy Services | Qty / Hours | Rate (INR) | Amount (INR) | HSN/SAC |
|---|---|---|---|---|---|
| 1 |
Initial Comprehensive Assessment: Evaluation of motor skills, sensory processing, and activities of daily living (ADLs) conducted by the Lead Occupational Therapist. |
1 | 3,500.00 | 3,500.00 | 999311 |
| 2 |
Individual Rehabilitation Sessions: 8 sessions of 60 minutes each focusing on upper limb strengthening, fine motor coordination, and neuro-rehabilitation techniques. |
8 | 2,000.00 | 16,000.00 | 999311 |
| 3 |
Home Modification Consultation: Site visit in Mumbai to assess home safety and recommend ergonomic adjustments for patient independence. |
1 | 4,500.00 | 4,500.00 | 999311 |
| 4 |
Adaptive Equipment Training: Instruction on the use of assistive devices for dressing and feeding, including follow-up support. |
2 | 1,500.00 | 3,000.00 | 999311 |
| 5 |
Progress Report & Care Plan Update: Detailed documentation of patient progress and updated therapy goals for insurance and medical records. |
1 | 1,000.00 | 1,000.00 | 999311 |
Amount in words: Thirty-Two Thousand Forty Rupees Only.
Payment Instructions
Please make the payment within 14 days of the invoice date. Late payments may incur a penalty of 2% per month as per the financial regulations applicable in India Mumbai.
Bank Transfer Details:
- Bank Name: HDFC Bank
- Branch: Andheri West, Mumbai
- Account Name: Mumbai Allied Health Solutions Pvt. Ltd.
- Account Number: 50200012345678
- IFSC Code: HDFC0001234
Alternatively, payments can be made via UPI at: mumbaihealth@hdfcbank. Please quote the Invoice Number as the reference.
Terms and Conditions
- This invoice is issued in accordance with the Goods and Services Tax (GST) Act, 2017.
- Services provided are by a qualified Occupational Therapist registered with the relevant Indian medical council.
- Any disputes regarding this invoice must be raised within 7 days of receipt.
- Jurisdiction for any legal matters related to this invoice shall be the courts of Mumbai, Maharashtra.
- Insurance claims can be processed using this invoice along with the detailed medical report.
Authorized Signatory
Dr. Priya Sharma
Lead Occupational Therapist
Received By
__________________________
Date: ____________________
Thank you for choosing Mumbai Allied Health Solutions for your rehabilitation needs.
Committed to excellence in Occupational Therapy across India Mumbai.
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