Invoice Optometrist in Indonesia Jakarta –Free Word Template Download with AI
Professional Eye Care Center
Jl. Sudirman Kav. 52-53, SCBD Lot 10
Jakarta Selatan, Indonesia Jakarta 12190
Telp: +62 21 5555 1234 | Email: [email protected]
NPWP: 01.234.567.8-901.000
Invoice Number: INV-JKT-2023-0892
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Service Date: October 20, 2023
Bill To:
Mr. Budi Santoso
PT. Maju Bersama Teknologi
Jl. Gatot Subroto No. 88
Jakarta Pusat, Indonesia Jakarta 10270
ID No (NIK): 3171012345670001
Payment Method:
Bank Transfer
Bank Central Asia (BCA)
Account Name: Visi Prima Optometrist
Account Number: 123-456-7890
Swift Code: CENAIDJA
| No. | Description of Optometrist Services & Products | Qty | Unit Price (IDR) | Total (IDR) |
|---|---|---|---|---|
| 1 |
Comprehensive Optometrist Eye Examination Includes visual acuity test, refraction analysis, intraocular pressure measurement, and retinal screening performed by a licensed optometrist in Jakarta. |
1 | 750,000 | 750,000 |
| 2 |
Premium Anti-Reflective Lenses (Pair) High-index 1.67 lenses with blue light filter coating, customized prescription based on the optometrist's assessment. |
1 | 2,500,000 | 2,500,000 |
| 3 |
Designer Titanium Eyeglass Frame Lightweight, hypoallergenic titanium frame selected during the consultation at our Indonesia Jakarta clinic. |
1 | 1,800,000 | 1,800,000 |
| 4 |
Eye Health Consultation & Report Detailed digital report of eye health status, prescription validity, and recommendations for future care by our senior optometrist. |
1 | 350,000 | 350,000 |
| 5 |
Lens Cleaning Kit & Case Includes microfiber cloth, cleaning solution, and hard protective case for the new eyewear. |
1 | 150,000 | 150,000 |
Terms and Conditions:
- This invoice is issued by Visi Prima Optometrist, a licensed eye care provider operating in Indonesia Jakarta.
- Payment is due within 14 days from the date of issue. Late payments may incur a penalty of 2% per month.
- All optical products are covered by a 6-month warranty against manufacturing defects. This warranty does not cover damage due to misuse or accidents.
- Prescription validity is for one year from the date of the optometrist examination.
- Please quote the Invoice Number (INV-JKT-2023-0892) when making bank transfers.
- For corporate clients in Jakarta, this invoice serves as a valid tax document (Faktur Pajak) for VAT deduction purposes.
Authorized by:
Dr. Sarah Wijaya, A.Mt.Lead Optometrist
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