Invoice Ophthalmologist in New Zealand Auckland –Free Word Template Download with AI
Providing Comprehensive Eye Care in New Zealand Auckland
From:Dr. Jane Smith, FRANZCO
Auckland Eye Specialists
123 Medical Centre Drive
Auckland CBD
Auckland 1010
New Zealand
Phone: +64 9 123 4567
Email: [email protected]
NZBN: 9429000000000 Invoice To:
John Doe
456 Residential Street
Ponsonby
Auckland 1011
New Zealand
Phone: +64 21 987 6543
Email: [email protected] Invoice Number: INV-2023-00123
Date Issued: 15 October 2023
Due Date: 15 November 2023 Patient Reference: PAT-45678
Consultation Date: 10 October 2023
Health Insurance: None Declared
This invoice pertains to the professional ophthalmological services provided by Dr. Jane Smith, a fully qualified Ophthalmologist practicing in New Zealand Auckland. The services detailed below were rendered at our Auckland CBD clinic, adhering to the highest standards of eye care recognized by the Royal New Zealand College of Ophthalmologists.
| Description of Service | Quantity | Unit Price (NZD) | Total (NZD) |
|---|---|---|---|
| Comprehensive Ophthalmological Consultation | 1 | 250.00 | 250.00 |
| Dilated Fundus Examination | 1 | 100.00 | 100.00 |
| Optical Coherence Tomography (OCT) Scan | 1 | 150.00 | 150.00 |
| Visual Field Test (Perimetry) | 1 | 120.00 | 120.00 |
| Prescription for Corrective Lenses | 1 | 50.00 | 50.00 |
| Follow-up Consultation (Scheduled) | 1 | 150.00 | 150.00 |
Subtotal: NZD 820.00
GST (15%): NZD 123.00
Total Amount Due: NZD 943.00
Please make payment within 30 days of the invoice date. Payments can be made via bank transfer to the following account:
Bank: ANZ New Zealand
Account Name: Auckland Eye Specialists Ltd
Account Number: 01-0000-0000000-00
Reference: INV-2023-00123
For any queries regarding this invoice, please contact our billing department at [email protected] or call +64 9 123 4567.
1. All services provided are subject to the professional standards of the Royal New Zealand College of Ophthalmologists.
2. Payment is due within 30 days of the invoice date. Late payments may incur a 1.5% monthly interest charge.
3. This invoice is issued in accordance with New Zealand tax laws, including the Goods and Services Tax (GST) Act 1985.
4. Any disputes regarding this invoice must be raised within 14 days of receipt.
5. Auckland Eye Specialists Ltd reserves the right to suspend services for outstanding payments exceeding 60 days.
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