Invoice Optometrist in Tanzania Dar es Salaam –Free Word Template Download with AI
Professional Optometry Services
Plot No. 45, Sam Nujoma Road
Upanga West, Dar es Salaam, Tanzania
Tel: +255 22 211 9988 | Email: [email protected]
TIN: 123-456-789-00-00-000
Invoice Number: INV-TZ-2023-0892
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Payment Status: Pending
Bill To:
Mr. Juma Mwangi
Senior Manager, Logistics
East African Trading Co.
Plot 12, Ohio Street
Kariakoo, Dar es Salaam, Tanzania
Phone: +255 755 123 456
Service Location:
Dar es Salaam Vision Care Clinic
Upanga West, Dar es Salaam
Optometrist Assigned:
Dr. Sarah Mushi, OD
License No: TMOB/OP/2015/044
| # | Description of Optometry Services | Qty | Unit Price (TZS) | Total (TZS) |
|---|---|---|---|---|
| 1 |
Comprehensive Eye Examination Includes visual acuity testing, refraction, and binocular vision assessment performed by a licensed Optometrist in Dar es Salaam. |
1 | 150,000 | 150,000 |
| 2 |
Dilated Fundus Examination Detailed inspection of the retina and optic nerve to screen for glaucoma and diabetic retinopathy. |
1 | 75,000 | 75,000 |
| 3 |
Premium Anti-Reflective Lenses High-index polycarbonate lenses with blue light filter coating, customized for prescription. |
2 | 120,000 | 240,000 |
| 4 |
Titanium Optical Frame Lightweight, hypoallergenic frame selected from our Dar es Salaam showroom inventory. |
1 | 180,000 | 180,000 |
| 5 |
Dispensing and Adjustment Fee Professional fitting, pupillary distance measurement, and frame adjustment by certified staff. |
1 | 25,000 | 25,000 |
| 6 |
Protective Hard Case & Cleaning Kit Includes microfiber cloth and lens cleaning solution. |
1 | 15,000 | 15,000 |
Amount in words: Seven Hundred Seventy-Four Thousand and Fifty Tanzanian Shillings only.
Payment Instructions
Please remit payment within 14 days of the invoice date to maintain your account in good standing. We accept the following payment methods common in Tanzania:
- Bank Transfer: CRDB Bank, Branch: Upanga. Account Name: Dar es Salaam Vision Care Ltd. Account No: 0123456789.
- M-Pesa / Tigo Pesa: Paybill Number 555-000-123. Reference: Invoice Number.
- Cash: Accepted at our Dar es Salaam clinic during business hours.
Note: Please quote the Invoice Number (INV-TZ-2023-0892) in all correspondence and payment references.
Terms and Conditions
- All services rendered are subject to the professional standards of the Optometrists Association of Tanzania.
- Payment is due within 14 days. Late payments may incur a penalty interest of 2% per month.
- Prescription glasses come with a 6-month warranty against manufacturing defects in lenses and frames.
- This warranty does not cover damage caused by misuse, accidents, or normal wear and tear.
- Any disputes regarding this invoice should be resolved amicably. If unresolved, they are subject to the jurisdiction of the courts in Dar es Salaam, Tanzania.
- Optometrist consultations are confidential and protected under Tanzanian medical privacy laws.
Authorized by (Optometrist)
Dr. Sarah Mushi
Lead Optometrist
Received by (Client)
__________________________
Name & Date
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