Invoice Ophthalmologist in Turkey Istanbul –Free Word Template Download with AI
Specialized Ophthalmology Clinic
Levent Mahallesi, Büyükdere Caddesi No: 123
34394 Şişli, Istanbul, Turkey
Tax ID (Vergi No): 123 456 78 90
Tax Office (Vergi Dairesi): Şişli
Email: [email protected]
Phone: +90 212 555 01 02
Invoice No: INV-2023-8942
Date: October 24, 2023
Due Date: November 24, 2023
Currency: Turkish Lira (TRY)
Bill To:
Mr. John Doe
456 Maple Street, Apt 4B
New York, NY 10001, USA
Patient ID: P-998877
Insurance Provider: Global Health International
Policy Number: GHI-55443322
Service Description: Ophthalmological Examination and Treatment
This invoice details the professional medical services provided by our board-certified ophthalmologists at our clinic in Istanbul, Turkey. The services rendered include comprehensive eye examinations, diagnostic imaging, and specialized treatment plans tailored to the patient's specific ocular health needs. All procedures were conducted in accordance with the highest standards of medical practice recognized in Turkey and internationally.
| Description of Service | Quantity | Unit Price (TRY) | Total (TRY) |
|---|---|---|---|
| Comprehensive Ophthalmological Consultation | 1 | 1,500.00 | 1,500.00 |
| Dilated Fundus Examination | 1 | 800.00 | 800.00 |
| Optical Coherence Tomography (OCT) Scan | 1 | 1,200.00 | 1,200.00 |
| Visual Field Test (Perimetry) | 1 | 900.00 | 900.00 |
| Corneal Topography Mapping | 1 | 1,100.00 | 1,100.00 |
| Prescription Eyewear Consultation | 1 | 500.00 | 500.00 |
| Specialized Eye Drops (Prescription) | 2 | 350.00 | 700.00 |
| Follow-up Appointment (Post-Treatment) | 1 | 1,000.00 | 1,000.00 |
| Subtotal: | 7,700.00 TRY |
| VAT (KDV) 18%: | 1,386.00 TRY |
| Total Amount Due: | 9,086.00 TRY |
Payment Terms and Conditions:
Payment is due within 30 days from the date of this invoice. Late payments may incur a penalty fee of 2% per month. Please include the invoice number in your payment reference. Payments can be made via bank transfer to our account at Garanti BBVA, IBAN: TR12 0006 2000 1234 5678 9012 3456, or via credit card at our clinic in Istanbul.
Medical Disclaimer:
This invoice is issued for the medical services provided by Istanbul Vision Center, a leading ophthalmology clinic in Turkey. All treatments were performed by qualified ophthalmologists licensed to practice in Istanbul. This document serves as an official record of the services rendered and is valid for insurance claims and tax purposes in accordance with Turkish regulations.
Contact Information:
For any questions regarding this invoice or the services provided, please contact our billing department at [email protected] or call +90 212 555 01 02. Our office is located in the heart of Istanbul, Turkey, and we are committed to providing exceptional eye care services to patients from around the world.
Authorized Signature and Clinic Stamp
Dr. Ahmet Yilmaz, Chief Ophthalmologist
Istanbul Vision Center
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