Invoice Optometrist in Malaysia Kuala Lumpur –Free Word Template Download with AI
Address: Level 12, Menara KLCC, 50088 Kuala Lumpur, Malaysia
Phone: +603-2188-9900
Email: [email protected]
Company Reg No: 201501012345 (1234567-X)
MOH License No: OPT-KL-998877
Invoice #: INV-2023-10-0045
Date: October 24, 2023
Due Date: November 24, 2023
Status: Unpaid
Bill To:
Mr. Tan Wei Ming
123 Jalan Ampang, 50450 Kuala Lumpur, Malaysia
IC No: 850101-10-1234
Email: [email protected]
Phone: +6012-345-6789
Service Location:
Precision Vision Optometrists
Level 12, Menara KLCC
Kuala Lumpur, Malaysia
Consulting Optometrist: Dr. Sarah Lim, B.Optom (Hons)
| # | Description of Services / Items | Qty | Unit Price (MYR) | Total (MYR) |
|---|---|---|---|---|
| 1 |
Comprehensive Eye Examination Includes refraction, visual field test, and ocular health assessment by a licensed Optometrist in Kuala Lumpur. |
1 | 150.00 | 150.00 |
| 2 |
Premium Anti-Reflective Lenses (Single Vision) High-index 1.67 lenses with blue light filter. Prescription verified by our Optometrist. |
1 | 450.00 | 450.00 |
| 3 |
Designer Titanium Frame Brand: Silhouette. Model: Airfit. Lightweight and durable frame selected during consultation. |
1 | 850.00 | 850.00 |
| 4 |
Frame Fitting and Adjustment Precision fitting service to ensure optimal comfort and visual alignment. |
1 | 50.00 | 50.00 |
| 5 |
Eye Health Report & Prescription Certificate Official document issued by a registered Optometrist in Malaysia for medical records. |
1 | 30.00 | 30.00 |
Terms and Conditions:
- Payment Terms: Payment is due within 30 days of the invoice date. Late payments may incur a 2% monthly interest charge.
- Accepted Payment Methods: Bank Transfer (Maybank, CIMB, Public Bank), Credit Card (Visa, Mastercard), or Cash at our Kuala Lumpur clinic.
- Warranty: All frames and lenses come with a 12-month warranty against manufacturing defects. This warranty does not cover damage due to misuse or accidents.
- Prescription Validity: The prescription provided by our Optometrist is valid for 2 years in Malaysia, unless otherwise specified for medical reasons.
- Disputes: Any disputes regarding this invoice must be raised within 14 days of receipt. Please contact our billing department at [email protected].
- Privacy: Your personal and medical information is handled in accordance with the Personal Data Protection Act 2010 of Malaysia.
Banking Details:
Bank Name: Malayan Banking Berhad (Maybank)
Account Name: Precision Vision Optometrists Sdn Bhd
Account Number: 5678 9012 3456
Reference: INV-2023-10-0045
Authorized Signature
Dr. Sarah Lim, B.Optom (Hons)
Lead Optometrist
Received By
Mr. Tan Wei Ming
Date: _______________
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