Invoice Optometrist in Iran Tehran –Free Word Template Download with AI

Dr. Aria Rahimi, M.D., F.A.C.O.

License No: IR-THR-OP-8842

Address: No. 42, Valiasr Street, Near Tajrish Square,

Tehran Province, Iran, Postal Code: 19697-45612

Tax ID (Shenaseh Melli): 10123456789

Email: [email protected] | Phone: +98 21 8844 5566

Invoice #: INV-2023-10-045

Date: October 24, 2023

Due Date: November 07, 2023

Status: Pending Payment

Bill To

Mr. Reza Karimi

Address: Unit 12, Building 5, Azadi Street, District 6,

Tehran, Iran, Postal Code: 19395-67890

National ID (Code Melli): 0012345678

Phone: +98 912 345 6789

Description of Optometry Services & Products

#	Description of Service/Product	Qty	Unit Price (IRR)	Total (IRR)
1	Comprehensive Eye Examination Includes visual acuity test, refraction, tonometry (eye pressure), and retinal screening. Performed by licensed Optometrist in Tehran.	1	1,500,000	1,500,000
2	Precision Lens Fitting & Prescription Detailed analysis for progressive lenses suitable for presbyopia.	1	500,000	500,000
3	High-Index Progressive Lenses (1.67) Anti-reflective coating, UV protection, and blue light filter. Imported brand.	1 Pair	4,500,000	4,500,000
4	Titanium Semi-Rimless Frame Lightweight, durable frame selected from the Tehran Vision catalog.	1	3,200,000	3,200,000
5	Post-Fitting Consultation Follow-up visit to ensure proper adaptation to new prescription.	1	Included	0

Subtotal: 9,700,000 IRR Discount (Loyalty Member): - 485,000 IRR Value Added Tax (VAT) 9%: 831,750 IRR TOTAL DUE: 10,046,750 IRR

*Amount is calculated in Iranian Rials (IRR).
Equivalent approx. 200 USD (Exchange rate subject to change).

Payment Instructions

Please remit payment within 14 days of the invoice date. Late payments may incur a 2% monthly interest charge.

Bank Transfer Details:

Bank Name: Bank Melli Iran
Branch: Valiasr Branch, Tehran
Account Name: Tehran Vision Optometry Center Co.
IBAN: IR00 0500 0000 0000 1234 5678 90
Reference: Please use Invoice Number INV-2023-10-045 as the payment reference.

Alternatively, payment can be made via local payment gateways (Shaparak) or in person at our clinic in Tehran.

Terms and Conditions

Validity: This invoice is valid for 30 days from the date of issue. Prices are subject to change due to currency fluctuations in Iran.
Optometry Standards: All examinations and prescriptions are conducted in accordance with the regulations set by the Iranian Ministry of Health and Medical Education.
Warranty: Frames and lenses come with a 12-month warranty against manufacturing defects. This warranty does not cover damage caused by misuse or accidents.
Refunds: Refunds for lenses are only processed if the prescription error is proven by a second licensed Optometrist in Tehran.
Privacy: Patient data is handled with strict confidentiality in compliance with Iranian medical privacy laws.
Disputes: Any disputes regarding this invoice shall be resolved through the courts of Tehran, Iran.

Thank you for choosing Tehran Vision Optometry Center for your eye care needs. We are committed to providing the highest quality vision care services in Iran.

Authorized Signature
Dr. Aria Rahimi
Lead Optometrist Received By
Mr. Reza Karimi
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX

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