Invoice Optometrist in Egypt Cairo –Free Word Template Download with AI

Bill To:

Mr. Ahmed Hassan

42 Zamalek Street, Zamalek District

Cairo, Egypt 11211

Phone: +20 10 9876 5432

Patient ID: PV-88291

This document serves as an official invoice for professional optometrist services rendered at our clinic in Egypt Cairo. As a licensed optometrist practice operating under the regulations of the Egyptian Ministry of Health and Population, we are committed to providing transparent billing for all vision care services. The following items detail the comprehensive eye examination, diagnostic procedures, and optical corrections provided to the patient listed above.

#	Description of Service	Quantity	Unit Price (EGP)	Total (EGP)
1	Comprehensive Eye Examination Includes visual acuity testing, refraction, and ocular health assessment. This standard optometrist service ensures accurate prescription determination and early detection of eye conditions.	1	850.00	850.00
2	Dilated Fundus Examination Specialized diagnostic procedure to examine the retina, optic nerve, and blood vessels. Essential for patients in Egypt Cairo with risk factors for diabetes or hypertension-related eye complications.	1	600.00	600.00
3	Binocular Vision Assessment Evaluation of eye coordination and focusing ability. Recommended for patients experiencing eye strain, headaches, or difficulty with depth perception during daily activities.	1	450.00	450.00
4	Premium Anti-Reflective Coated Lenses (Pair) High-quality optical lenses with advanced anti-reflective coating, UV protection, and scratch resistance. Custom-ground to the patient's prescription by our certified optometrist team.	1	2,200.00	2,200.00
5	Titanium Full-Rim Eyeglass Frame Lightweight, durable frame selected during the consultation. Includes professional fitting and adjustment by our optometrist staff to ensure optimal comfort and alignment.	1	1,800.00	1,800.00
6	Follow-Up Consultation (30 Days) Post-purchase adjustment and vision check to ensure the new prescription and eyewear are providing optimal visual clarity and comfort.	1	300.00	300.00

Subtotal: 6,200.00 EGP VAT (14% - Egypt Tax Law): 868.00 EGP Insurance Deductible (if applicable): 0.00 EGP TOTAL AMOUNT DUE: 7,068.00 EGP

Terms, Conditions, and Important Information:

1. Payment Terms: Payment is due within 14 days of the invoice date. Accepted payment methods include cash (Egyptian Pounds), bank transfer, and major credit cards. Late payments may incur a 2% monthly service charge.

2. Optometrist Services Guarantee: All eye examinations and prescriptions are performed by licensed optometrists registered with the Egyptian Optometry Syndicate. We guarantee the accuracy of our diagnostic services and the quality of our optical products.

3. Warranty: Eyeglass frames and lenses come with a 12-month warranty against manufacturing defects. This warranty does not cover damage resulting from misuse, accidents, or normal wear and tear. Adjustments are free of charge during the warranty period.

4. Privacy Policy: In accordance with Egyptian data protection regulations, all patient information and medical records are kept strictly confidential and are accessible only to authorized optometrist personnel.

5. Disputes: Any disputes regarding this invoice should be addressed in writing to our billing department within 7 days of receipt. Our office is located in Cairo, Egypt, and we are committed to resolving any issues promptly and professionally.

6. Prescription Validity: The eyeglass prescription provided during this visit is valid for 12 months from the date of examination, as per standard optometrist practice guidelines in Egypt.

Authorized Signature

Dr. Sarah El-Masry, M.Optom

Lead Optometrist

Nile Vision Optometry Center

Patient Acknowledgment

Signature:

Date:

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