Invoice Optometrist in Afghanistan Kabul –Free Word Template Download with AI
Professional Optometry Services
Address: 123 Shahr-e-Naw Street, Near Central Bank
Kabul, Afghanistan
Phone: +93 70 123 4567
Email: [email protected]
Tax Registration No: AFG-TAX-998877
Invoice #: INV-KBL-2023-0045
Date: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14 Days
Bill To:Mr. Ahmad Rahimi
Residential Address: House #45, District 5, Karte Char
Kabul, Afghanistan
Phone: +93 79 987 6543
Patient ID: P-88210
Description of Optometry Services and ProductsThe following invoice details the professional optometric examination, diagnostic procedures, and corrective lens dispensing provided by our licensed optometrist in Kabul. These services adhere to international standards of eye care adapted for the local requirements of Afghanistan.
| # | Description of Service/Product | Qty | Unit Price (AFN) | Total (AFN) |
|---|---|---|---|---|
| 1 |
Comprehensive Eye Examination Includes visual acuity testing, refraction, and assessment of binocular vision. Performed by a certified optometrist to determine prescription accuracy. |
1 | 1,500.00 | 1,500.00 |
| 2 |
Glaucoma Screening (Tonometry) Measurement of intraocular pressure to detect early signs of glaucoma, a critical service for patients in the Kabul region. |
1 | 800.00 | 800.00 |
| 3 |
Dilated Fundus Examination Detailed inspection of the retina and optic nerve using mydriatic drops to rule out diabetic retinopathy or macular degeneration. |
1 | 1,200.00 | 1,200.00 |
| 4 |
Premium Anti-Reflective Eyeglass Lenses High-index polycarbonate lenses with blue-light filtering coating, customized to the patient's prescription. |
1 Pair | 4,500.00 | 4,500.00 |
| 5 |
Titanium Eyeglass Frames Lightweight, durable frames selected by the patient. Includes adjustment and fitting by the optometrist. |
1 | 3,000.00 | 3,000.00 |
| 6 |
Follow-up Consultation Post-dispensing review to ensure comfort and visual clarity of the new eyewear. |
1 | 500.00 | 500.00 |
Amount in words: Twelve Thousand One Hundred Fifty Afghan Afghani only.
Payment InstructionsPlease remit payment within 14 days of the invoice date. Payments can be made via the following methods accepted in Kabul:
- Cash: Payable at our clinic in Shahr-e-Naw, Kabul.
- Bank Transfer: Kabul Bank, Branch: City Center. Account Name: Kabul Vision Care Center. Account No: 1234567890.
- Mobile Money: M-Paisa or Ehtesab (Number: +93 70 123 4567).
Please reference Invoice #INV-KBL-2023-0045 with your payment to ensure proper allocation.
Terms and Conditions- This invoice is issued by a licensed Optometrist operating under the regulations of the Ministry of Public Health in Afghanistan.
- Services rendered are non-refundable once the examination is completed, except in cases of medical error.
- Eyeglass frames and lenses are subject to a 30-day warranty against manufacturing defects. This warranty does not cover damage caused by misuse or accidents.
- Prescriptions provided during this visit are valid for one year from the date of examination.
- Late payments may incur a penalty fee of 2% per month on the outstanding balance.
- In the event of a dispute, the laws of Afghanistan shall govern this transaction.
Authorized Signature
Dr. Fatima Karimi, OD
Lead Optometrist
Kabul Vision Care Center
Received By
__________________________
Date: ____________________
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