Invoice Ophthalmologist in Morocco Casablanca –Free Word Template Download with AI
123 Boulevard de la Corniche
Anfa District, Casablanca
Morocco
Phone: +212 522 00 00 00
Email: [email protected]
INVOICE
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Bill ToPatient Name: Mr. Ahmed Benali
Address: 45 Rue Ibn Batouta, Maarif, Casablanca, Morocco
Phone: +212 661 12 34 56
Insurance Provider: CNSS / RAMED
Policy Number: MA-99887766
Referral Code: REF-OPHT-2023
Services RenderedThe following invoice details the professional medical services provided by our board-certified Ophthalmologist team at our Casablanca facility. These charges cover comprehensive eye examinations, diagnostic procedures, and specialized treatments in accordance with the medical standards of Morocco.
| Description of Service | Quantity | Unit Price (MAD) | Total (MAD) |
|---|---|---|---|
|
Comprehensive Ophthalmological Examination Includes visual acuity testing, refraction, and slit-lamp biomicroscopy performed by a senior Ophthalmologist. |
1 | 450.00 | 450.00 |
|
Retinal Fundus Photography High-resolution imaging of the retina to detect diabetic retinopathy or macular degeneration. |
1 | 300.00 | 300.00 |
|
Optical Coherence Tomography (OCT) Advanced cross-sectional imaging of the retina and optic nerve head. |
1 | 600.00 | 600.00 |
|
Intraocular Pressure Measurement (Tonometry) Essential screening for glaucoma and ocular hypertension. |
1 | 150.00 | 150.00 |
|
Prescription for Corrective Lenses Detailed prescription for glasses or contact lenses based on refraction results. |
1 | 100.00 | 100.00 |
|
Consultation Fee (Specialist Ophthalmologist) Professional fee for diagnosis and treatment planning. |
1 | 350.00 | 350.00 |
| Subtotal: | 1,950.00 MAD |
| Insurance Coverage (CNSS): | -975.00 MAD |
| VAT (20% on remaining balance): | 195.00 MAD |
| Total Due: | 1,170.00 MAD |
Please remit payment within 14 days of the invoice date. Payments can be made via bank transfer, credit card, or cash at our reception desk in Casablanca.
Bank Details:
Bank: Attijariwafa Bank
Branch: Anfa, Casablanca
Account Name: Clinique de l'Œil de la Corniche
RIB: 007 0000 0000 0000 0000 0000 00
This invoice represents the final accounting for the ophthalmological services rendered on the date specified. As a leading Ophthalmologist practice in Morocco Casablanca, we adhere to strict medical billing regulations. If you have any questions regarding the charges or the medical procedures performed, please contact our billing department immediately.
Late payments may incur a penalty fee of 1.5% per month. This invoice is valid for insurance reimbursement claims in Morocco. Please retain a copy for your records.
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