Invoice Optometrist in Iraq Baghdad –Free Word Template Download with AI
Specialized Optometry & Ophthalmic Services
Al-Karkh District, Street 14, Building 5
Baghdad, Iraq
Tax ID: IQ-9988776655
Phone: +964 770 123 4567
Email: [email protected]
Invoice #: INV-2023-10-045
Date: October 24, 2023
Due Date: November 24, 2023
Status: Unpaid
Bill To:
Mr. Ahmed Al-Farsi
Al-Mansour District
Baghdad, Iraq
Phone: +964 780 987 6543
Patient / Account Details:
Patient Name: Ahmed Al-Farsi
Age: 34
Insurance: Self-Pay / Cash
Referral: Dr. Hassan (Internal Medicine)
| # | Description of Optometry Services | Quantity | Unit Price (IQD) | Total (IQD) |
|---|---|---|---|---|
| 1 |
Comprehensive Eye Examination Includes visual acuity testing, refraction, and assessment of eye health. Performed by a licensed Optometrist in Baghdad. |
1 | 25,000 | 25,000 |
| 2 |
Dilated Fundus Examination Detailed inspection of the retina and optic nerve using mydriatic drops to rule out glaucoma and diabetic retinopathy. |
1 | 15,000 | 15,000 |
| 3 |
Prescription Eyeglasses (Single Vision) High-index lenses with anti-reflective coating. Frame selection from the Baghdad Vision Care premium collection. |
1 | 180,000 | 180,000 |
| 4 |
Computer Vision Syndrome Assessment Specialized consultation regarding digital eye strain and ergonomic recommendations for office workers in Iraq. |
1 | 10,000 | 10,000 |
| 5 |
Eye Health Education & Follow-up Plan Consultation on maintaining ocular health in the local environment, including protection against dust and UV exposure. |
1 | 5,000 | 5,000 |
Payment Terms & Conditions:
1. Payment is due within 30 days of the invoice date. Please remit payment in Iraqi Dinar (IQD) to our branch in Baghdad or via bank transfer.
2. Bank Details: Bank of Baghdad, Branch: Al-Karkh, Account Name: Baghdad Vision Care Center, Account Number: 1234567890.
3. Late payments may incur a penalty fee of 2% per month.
4. This invoice serves as an official receipt for tax purposes in Iraq. Please retain this document for your records.
5. Warranty: All optical products purchased come with a 6-month warranty against manufacturing defects. This warranty is valid only within Iraq.
6. Follow-up: Your Optometrist recommends a follow-up appointment in 12 months to monitor your eye health.
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