Invoice Optometrist in China Shanghai –Free Word Template Download with AI
Registered Entity: Shanghai Vision Care Medical Technology Co., Ltd.
Address: Room 1205, Tower B, Jing'an Kerry Centre, 1515 Nanjing West Road, Jing'an District, Shanghai, China 200040
Unified Social Credit Code: 91310106MA1K3X7Y8Z
Phone: +86 21 6288 9900
Email: [email protected]
Official Tax Invoice
Bill To (Client Information)
Mr. David Chen
Global Logistics Solutions Ltd.
18F, Shanghai World Financial Center
Lujiazui, Pudong New Area, Shanghai, China 200120
Tax ID / VAT Number: 91310115MA1H2J4K9L
| # | Description of Optometry Services | Quantity | Unit Price (CNY) | Total Amount (CNY) |
|---|---|---|---|---|
| 1 |
Comprehensive Refraction and Eye Examination Detailed assessment of visual acuity, binocular vision, and refractive error using advanced autorefractors and phoropters. Includes consultation with a licensed optometrist regarding prescription requirements. |
1 | 350.00 | 350.00 |
| 2 |
Advanced Ocular Health Screening Includes dilated fundus examination, intraocular pressure measurement (tonometry) for glaucoma screening, and anterior segment analysis. Essential for maintaining ocular health standards in Shanghai's urban environment. |
1 | 450.00 | 450.00 |
| 3 |
Premium Anti-Reflective Lenses (Pair) High-index 1.67 polycarbonate lenses with multi-coating technology. Designed to reduce eye strain from digital screens and improve night vision clarity. |
1 | 1,200.00 | 1,200.00 |
| 4 |
Designer Titanium Eyewear Frame Lightweight, hypoallergenic titanium frame selected during the fitting session. Includes adjustment and fitting services by our certified opticians. |
1 | 850.00 | 850.00 |
| 5 |
Blue Light Filtering Coating Add-on Specialized coating applied to lenses to filter high-energy visible (HEV) blue light emitted by computers and smartphones, reducing digital eye strain. |
1 | 200.00 | 200.00 |
| 6 |
Post-Fitting Consultation and Follow-up One-month follow-up appointment to ensure proper adaptation to new prescription and frame fit. Includes minor adjustments if necessary. |
1 | 150.00 | 150.00 |
Amount in words: Three Thousand Two Hundred Ninety-Two Chinese Yuan Only.
Terms, Conditions, and Payment Information
1. Payment Methods: Payment can be made via Bank Transfer (Wire), Alipay, WeChat Pay, or UnionPay Credit Card. For bank transfers, please use the following details:
Bank Name: Bank of China, Shanghai Jing'an Branch
Account Name: Shanghai Vision Care Medical Technology Co., Ltd.
Account Number: 4523 8899 0011 2233
SWIFT Code: BKCHCNBJ300
2. Validity: This invoice is valid for 30 days from the date of issue. Late payments may incur a penalty fee of 1.5% per month on the outstanding balance.
3. Warranty: All optical products sold by our optometrist team come with a 12-month warranty against manufacturing defects. This warranty does not cover damage caused by misuse or accidents.
4. Tax Compliance: This document serves as an official invoice for tax deduction purposes in accordance with the regulations of the State Taxation Administration of the People's Republic of China. A formal VAT Special Invoice (Fapiao) can be issued upon request for corporate reimbursement.
5. Privacy: Your personal health information and prescription data are protected under the Personal Information Protection Law (PIPL) of China and will not be shared with third parties without your consent.
Authorized Signature (Provider)
Dr. Li Wei, Chief Optometrist
Shanghai Vision Care Optometry
Received By (Client)
Name: _________________________
Date: _________________________
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT