Invoice Ophthalmologist in India Mumbai –Free Word Template Download with AI
402, Horizon Towers, Linking Road,
Bandra West, Mumbai, Maharashtra 400050,
India
Phone: +91 22 2640 1234
Email: [email protected]
GSTIN: 27AABCM1234D1Z5
Invoice #: MVI-2023-8942
Date: October 24, 2023
Due Date: November 07, 2023
Bill To:
Mr. Rajesh Kumar Sharma
Flat 12B, Green Valley Apartments,
Andheri East, Mumbai, Maharashtra 400069,
India
Phone: +91 98765 43210
Email: [email protected]
| # | Description of Ophthalmology Services | Quantity | Unit Price (INR) | Total (INR) |
|---|---|---|---|---|
| 1 |
Comprehensive Ophthalmic Examination Includes visual acuity testing, refraction, slit-lamp biomicroscopy, and tonometry. Performed by a senior Ophthalmologist at our Mumbai clinic. |
1 | 1,500.00 | 1,500.00 |
| 2 |
Dilated Fundus Examination Retinal assessment using mydriatic agents to evaluate the optic nerve and retina for diabetic retinopathy or macular degeneration. |
1 | 800.00 | 800.00 |
| 3 |
Optical Coherence Tomography (OCT) High-resolution cross-sectional imaging of the retina. Essential for diagnosing glaucoma and macular conditions. |
1 | 2,500.00 | 2,500.00 |
| 4 |
Prescription Eyewear Consultation Finalization of prescription for corrective lenses based on refraction results. |
1 | 500.00 | 500.00 |
| 5 |
Therapeutic Eye Drops (Prescription) Lubricating and anti-inflammatory drops prescribed for dry eye syndrome management. |
2 | 350.00 | 700.00 |
(Seven Thousand and Eighty Indian Rupees Only)
Terms and Conditions:
- Payment is due within 14 days of the invoice date.
- This invoice is for services rendered at our Mumbai, India facility. All prices are inclusive of applicable taxes as per Indian GST regulations.
- Insurance claims must be submitted with this original invoice and the detailed medical report provided separately.
- For any discrepancies regarding this Ophthalmology invoice, please contact our billing department within 7 days.
- Failure to pay by the due date may result in a late fee of 2% per month on the outstanding balance.
Lead Ophthalmologist
Mumbai Vision Care Institute ⬇️ Download as DOCX Edit online as DOCX
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