Invoice Ophthalmologist in Pakistan Islamabad –Free Word Template Download with AI
Dr. Ayesha Khan, FCPS (Ophthalmology)
Plot 45, Sector F-7/2, Jinnah Avenue
Islamabad, Pakistan
Phone: +92 51 123 4567 | Email: [email protected]
NTN: 1234567-8 | STTN: ISB-987654
Invoice #: INV-2023-10-045
Date: October 24, 2023
Due Date: November 07, 2023
Bill To:
Mr. Ahmed Raza
House 12, Street 5, Blue Area
Islamabad, Pakistan
Phone: +92 300 1234567
Insurance Provider: EFU Life Insurance
Policy Number: EFU-VIS-998877
Service Details:
Consultation Date: October 24, 2023
Department: Advanced Ophthalmology
Attending Physician: Dr. Ayesha Khan
Diagnosis: Cataract (Bilateral), Refractive Error
| Description of Services | Quantity | Unit Price (PKR) | Total (PKR) |
|---|---|---|---|
|
Comprehensive Ophthalmic Examination Includes visual acuity testing, slit-lamp biomicroscopy, tonometry, and dilated fundus examination performed by a certified Ophthalmologist in Islamabad. |
1 | 3,500.00 | 3,500.00 |
|
Pre-Operative Assessment for Cataract Surgery Detailed evaluation including biometry for intraocular lens (IOL) calculation and corneal topography. |
1 | 4,000.00 | 4,000.00 |
|
Phacoemulsification Surgery (Right Eye) Advanced cataract removal procedure with implantation of a premium multifocal intraocular lens. Performed at Capital Eye Hospital, Islamabad. |
1 | 85,000.00 | 85,000.00 |
|
Post-Operative Medication Kit Includes antibiotic drops, anti-inflammatory steroids, and lubricating eye drops as prescribed by the Ophthalmologist. |
1 | 2,500.00 | 2,500.00 |
|
Follow-up Consultation (First Week) Standard post-surgical check-up to monitor healing and intraocular pressure. |
1 | 1,500.00 | 1,500.00 |
Important Notes & Terms:
This invoice represents the professional fees and service charges for ophthalmological care provided in Islamabad, Pakistan. Payment is due within 14 days of the invoice date. Late payments may incur a penalty of 1.5% per month. Please quote the Invoice Number (INV-2023-10-045) on all checks or bank transfers.
Payment Methods Accepted:
- Bank Transfer: MCB Bank Ltd, F-7 Branch, Islamabad. Account Title: Capital Eye Care Specialists. Account No: 0123-4567890-12.
- Cash: Accepted at the clinic reception during business hours.
- Credit Card: Visa/Mastercard accepted with a 2% processing fee.
For insurance claims, please submit this original invoice along with the detailed medical report to your provider. Our billing department is available to assist with pre-authorization and claim processing for patients in Islamabad and across Pakistan.
Authorized Signature
Dr. Ayesha KhanLead Ophthalmologist
Capital Eye Care Specialists ⬇️ Download as DOCX Edit online as DOCX
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