Invoice Optometrist in Nigeria Abuja –Free Word Template Download with AI
Reg. No: RC-12345678
TIN: 10-98765432-0001
Plot 45, Central Business District (CBD)
Aguiyi Ironsi Street, Wuse II
Abuja, FCT, Nigeria
Email: [email protected] | Phone: +234 800 123 4567
Invoice #: INV-2023-ABJ-0089
Date: October 24, 2023
Due Date: November 07, 2023
Status: Unpaid
Bill To:
Mr. Chukwudi Okafor
Senior Manager, Logistics
National Assembly Complex
Area 11, Garki, Abuja
Nigeria
Service Location:
Abuja Vision Care Clinic
Wuse II, Abuja
FCT, Nigeria
| # | Description of Optometry Services | Quantity | Unit Price (NGN) | Total (NGN) |
|---|---|---|---|---|
| 1 |
Comprehensive Eye Examination Includes visual acuity test, refraction, eye health assessment, and intraocular pressure measurement. Conducted by a licensed Optometrist in Abuja. |
1 | 25,000.00 | 25,000.00 |
| 2 |
Premium Anti-Reflective Eyeglass Lenses High-index polycarbonate lenses with blue light filter and scratch resistance. Customized prescription for myopia and astigmatism. |
1 Pair | 45,000.00 | 45,000.00 |
| 3 |
Designer Titanium Eyeglass Frames Lightweight, durable titanium frames selected from the 2023 collection. Includes adjustment and fitting service. |
1 | 35,000.00 | 35,000.00 |
| 4 |
Digital Retinal Imaging Advanced imaging of the retina to detect early signs of diabetic retinopathy and macular degeneration. Essential for patients in Nigeria with high diabetes prevalence. |
1 | 15,000.00 | 15,000.00 |
| 5 |
Consultation Fee: Glaucoma Screening Specialized consultation by a senior Optometrist regarding family history of glaucoma. Includes visual field testing. |
1 | 20,000.00 | 20,000.00 |
| 6 |
Prescription Eye Drops (Lubricant) 3-month supply of preservative-free artificial tears for dry eye syndrome management. |
3 | 5,000.00 | 15,000.00 |
Payment Instructions
Please make payment within 14 days of the invoice date. Payments can be made via bank transfer to the following account:
Bank Name: Zenith Bank Plc
Account Name: Abuja Vision Care & Optometry Centre Ltd
Account Number: 1012345678
Sort Code: 057
Reference: INV-2023-ABJ-0089
Note: Please email your payment receipt to [email protected] for confirmation.
Terms and Conditions
- Validity: This invoice is valid for 30 days from the date of issue. After this period, a late fee of 5% per month may apply.
- Services: All optometry services provided are performed by licensed professionals registered with the Optometrists and Dispensing Opticians Council of Nigeria (ODOCN).
- Warranty: Eyeglass frames and lenses come with a 6-month warranty against manufacturing defects. This does not cover damage due to misuse or accidents.
- Prescription: The prescription provided is valid for 12 months. Please return for a follow-up examination after this period.
- Disputes: Any discrepancies in this invoice must be reported within 7 days of receipt. Contact our billing department at +234 800 123 4567.
- Jurisdiction: This agreement is governed by the laws of the Federal Republic of Nigeria, specifically within the Federal Capital Territory (Abuja).
- Privacy: Your medical records and personal information are kept confidential in accordance with the Nigeria Data Protection Regulation (NDPR).
Thank you for choosing Abuja Vision Care & Optometry Centre. We are committed to providing you with the highest standard of eye care in Nigeria.
Authorized Signature
Dr. Amina Bello, FCOptom
Lead Optometrist
Received By
__________________________
Date: ____________________
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