Invoice Ophthalmologist in Pakistan Karachi –Free Word Template Download with AI
Regulated by the Pakistan Medical Commission (PMC)
INVOICE
Invoice #: KVC-2023-8942
Date: October 24, 2023
Due Date: November 07, 2023
Status: Pending Payment
Bill From (Ophthalmologist)
Dr. Ahmed Raza Khan, FCPS (Ophth)
Senior Consultant Ophthalmologist
Karachi Vision Care Center
Plot 45-B, Block 5, Clifton
Shahrah-e-Faisal, Karachi, Sindh
Pakistan
Phone: +92-21-3587-XXXX
Email: [email protected]
NTN: 1234567-8
Bill To (Patient)
Mr. Bilal Ahmed Siddiqui
House #12, Street 4, DHA Phase 6
Karachi, Sindh
Pakistan
Phone: +92-300-1234567
CNIC: 35202-XXXXXXX-X
Insurance: Al-Falah General Insurance (Policy #AF-9988)
Service Context: This invoice represents the professional fees and associated costs for ophthalmological services rendered at our clinic in Karachi, Pakistan. The treatment plan was formulated following a comprehensive eye examination, including slit-lamp biomicroscopy and retinal imaging, conducted by our board-certified Ophthalmologist. All procedures adhere to the standards set by the Pakistan Medical Commission and local healthcare regulations in Sindh.
| # | Description of Ophthalmology Services | Quantity | Unit Price (PKR) | Total (PKR) |
|---|---|---|---|---|
| 1 |
Consultation Fee (Specialist Ophthalmologist) Initial comprehensive eye evaluation, history taking, and diagnosis by Dr. Ahmed Raza Khan. |
1 | 3,500.00 | 3,500.00 |
| 2 |
Diagnostic Imaging: OCT Scan Optical Coherence Tomography for retinal layer analysis and macular assessment. |
1 | 4,000.00 | 4,000.00 |
| 3 |
Diagnostic Imaging: Fundus Photography High-resolution digital imaging of the retina for diabetic retinopathy screening. |
1 | 2,500.00 | 2,500.00 |
| 4 |
Phacoemulsification Surgery (Cataract) Micro-incision cataract surgery with ultrasound emulsification. Includes surgeon fee, anesthesia, and facility charges. |
1 | 45,000.00 | 45,000.00 |
| 5 |
Intraocular Lens (IOL) Implant Premium Toric IOL (Single Vision) to correct astigmatism. Imported medical device. |
1 | 35,000.00 | 35,000.00 |
| 6 |
Post-Operative Medication Kit Includes antibiotic drops, anti-inflammatory steroids, and lubricants as prescribed by the Ophthalmologist. |
1 | 4,500.00 | 4,500.00 |
| 7 |
Follow-up Consultation Post-surgical review to monitor healing and intraocular pressure. |
2 | 2,000.00 | 4,000.00 |
| Subtotal: | PKR 98,500.00 |
| Discount (Insurance Coverage): | - PKR 40,000.00 |
| Net Amount: | PKR 58,500.00 |
| Sales Tax (17% - Govt of Pakistan): | PKR 9,945.00 |
| Grand Total Due: | PKR 68,445.00 |
Payment Instructions
Please make payment within 14 days of the invoice date. Payments can be made via bank transfer, cash, or credit card at our Karachi clinic.
Bank Name: Habib Bank Limited (HBL)
Branch: Clifton Branch, Karachi
Account Title: Karachi Vision Care Center (Pvt) Ltd
Account Number: 0123-4567890-00
IBAN: PK36HABB01234567890000
SWIFT Code: HABBPKKA
Terms and Conditions
- This invoice is issued in accordance with the tax laws of Pakistan. The Sales Tax is calculated at the prevailing rate of 17%.
- All ophthalmological procedures performed by our Ophthalmologist are subject to standard medical risks. Informed consent was obtained prior to surgery.
- Insurance claims must be submitted with this original invoice and the detailed medical report within 30 days.
- Late payments may incur a penalty of 2% per month on the outstanding balance.
- For any discrepancies regarding this invoice, please contact our billing department in Karachi immediately.
Authorized Signatory
Dr. Ahmed Raza Khan
Lead Ophthalmologist
Patient Acknowledgement
Signature & Date
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