Invoice Optometrist in Myanmar Yangon –Free Word Template Download with AI
Address: No. 123, Bogyoke Aung San Road, Kamayut Township
City: Yangon, Myanmar
Tax Registration No: 12345678901
Email: [email protected]
Phone: +95 1 234 5678
Invoice #: INV-2023-0045
Date: October 24, 2023
Due Date: November 24, 2023
Bill To:
Mr. Aung Kyaw
45/7, Lanmadaw Road
Mayangon Township
Yangon, Myanmar
Phone: +95 9 123 456 789
Patient Details:
Patient Name: Mr. Aung Kyaw
Date of Birth: 15/05/1985
Appointment Date: October 24, 2023
Attending Optometrist: Dr. Thida Win
| # | Description of Services / Products | Quantity | Unit Price (MMK) | Total (MMK) |
|---|---|---|---|---|
| 1 |
Comprehensive Eye Examination Includes visual acuity test, refraction, tonometry (eye pressure), and dilated fundus examination performed by a licensed Optometrist in Yangon. |
1 | 45,000 | 45,000 |
| 2 |
Prescription Eyeglass Lenses (High Index 1.67) Anti-reflective coating, UV protection, and scratch-resistant coating. Custom ground for patient prescription. |
1 Pair | 180,000 | 180,000 |
| 3 |
Designer Eyeglass Frames Brand: Ray-Ban, Model: RB5154. Titanium alloy, lightweight durable frame selected during consultation. |
1 | 250,000 | 250,000 |
| 4 |
Dry Eye Assessment & Treatment Plan Meibomian gland imaging and consultation regarding environmental factors in Yangon climate. |
1 | 30,000 | 30,000 |
| 5 |
Lubricating Eye Drops (Prescription) Artificial tears, preservative-free, 10ml bottle. |
2 | 15,000 | 30,000 |
Amount in words: Five Hundred Forty-One Thousand Seven Hundred Fifty Myanmar Kyats only.
Payment Terms & Conditions
This invoice is issued by Yangon Vision Care Optometrists, a registered healthcare provider in Yangon, Myanmar. Payment is due within 30 days of the invoice date. Late payments may incur a penalty fee of 2% per month.
Accepted Payment Methods:
- Cash (Myanmar Kyat)
- Bank Transfer: KBZ Bank, Account Name: Yangon Vision Care Co., Ltd., Account No: 0123456789
- Wave Money / KBZ Pay
Please reference Invoice #INV-2023-0045 when making any payments.
Optometrist Clinical Notes
The services detailed above were provided by a qualified Optometrist licensed to practice in Myanmar. The prescription lenses are guaranteed against manufacturing defects for 12 months from the date of issue. If you experience any discomfort with your new eyewear, please return to our Yangon clinic within 14 days for a free adjustment or re-check.
Follow-up: Please schedule your next comprehensive eye examination in 12 months. Regular check-ups are essential for maintaining optimal eye health, especially given the high levels of dust and pollution common in urban Yangon.
Authorized Signature
Dr. Thida Win, B.Optom, M.Optom
Lead Optometrist
Received By
Date: _______________
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