Invoice Optometrist in Egypt Alexandria –Free Word Template Download with AI
Professional Optometry Services
123 Saad Zaghloul Street, Raml Station
Alexandria, Egypt - Postal Code: 21500
Tax Registration Number: 123-456-789000
Phone: +20 3 487 1234 | Email: [email protected]
License No: OPT-ALX-2023-0456
Invoice Number: INV-2024-0892
Date of Issue: October 24, 2024
Due Date: November 24, 2024
Payment Status: Pending
Bill To:
Mr. Ahmed Hassan Mohamed
45 El-Horreya Avenue, Smouha District
Alexandria, Egypt - Postal Code: 21526
Phone: +20 10 1234 5678
Email: [email protected]
National ID: 29805123456789
Optometry Services and Products Provided
| # | Description of Service/Product | Quantity | Unit Price (EGP) | Total (EGP) |
|---|---|---|---|---|
| 1 |
Comprehensive Eye Examination Complete visual acuity test, refraction analysis, intraocular pressure measurement, and retinal health assessment conducted by licensed optometrist. |
1 | 850.00 | 850.00 |
| 2 |
Premium Anti-Reflective Coated Lenses High-index 1.67 polycarbonate lenses with blue light filtering technology and scratch-resistant coating. Prescription: OD -2.50/-0.75x180, OS -2.75/-1.00x175. |
1 Pair | 2,400.00 | 2,400.00 |
| 3 |
Titanium Full-Rim Eyeglass Frame Model: AV-Classic-2024, Color: Matte Black. Lightweight hypoallergenic titanium construction suitable for daily wear. |
1 | 1,800.00 | 1,800.00 |
| 4 |
Digital Eye Strain Consultation Specialized assessment for computer vision syndrome with personalized recommendations for screen time management and ergonomic adjustments. |
1 | 450.00 | 450.00 |
| 5 |
Contact Lens Fitting and Trial Professional fitting session for daily disposable contact lenses including curvature measurement and trial lens evaluation. |
1 | 600.00 | 600.00 |
| 6 |
Eye Health Educational Materials Printed guide on maintaining eye health in Alexandria's climate conditions, including UV protection recommendations. |
1 | 150.00 | 150.00 |
Payment Terms and Methods
Accepted Payment Methods:
- Cash (Egyptian Pounds - EGP)
- Credit/Debit Card (Visa, MasterCard, American Express)
- Bank Transfer to Alexandria National Bank
- InstaPay Mobile Payment
Bank Details for Transfer:
Bank Name: National Bank of Egypt - Alexandria Branch
Account Name: Alexandria Vision Care Center
Account Number: 12345678901234
IBAN: EGY00019000512345678901234
Payment Terms: Payment is due within 30 days from the invoice date. Late payments may incur a 2% monthly interest charge. Please reference Invoice Number INV-2024-0892 with all payments.
Important Information Regarding Your Optometry Services
This invoice represents professional optometry services rendered at our Alexandria clinic in accordance with Egyptian Medical Syndicate regulations and the Egyptian Optometry Association standards. All examinations were conducted by licensed optometrists registered with the Alexandria Medical Syndicate.
Warranty Information: Your eyeglass frames come with a 12-month manufacturer warranty against defects. Lens coatings are guaranteed for 6 months under normal use conditions. Please retain this invoice as proof of purchase for warranty claims.
Follow-up Care: We recommend a follow-up examination within 6 months or sooner if you experience any changes in vision, eye discomfort, or headaches. Our Alexandria clinic offers priority scheduling for returning patients.
Prescription Validity: Your eyeglass prescription is valid for 2 years from the examination date according to Egyptian health regulations. Please schedule your next comprehensive eye examination before expiration.
Authorized by:
Dr. Sarah Ibrahim
Senior Optometrist
License No: OPT-EGY-7890
Signature & DateReceived by:
Client Name:
Signature:
Date:
Client Acknowledgment ⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT