Invoice Optometrist in Uzbekistan Tashkent –Free Word Template Download with AI
Professional Optometry Services
Address: Amir Temur Avenue 45, Yunusabad District
Tashkent, Uzbekistan 100000
Phone: +998 71 123 45 67
Email: [email protected]
VAT Registration Number: UZ-123456789
Invoice #: INV-2023-10-0042
Date: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14
Bill To:
Mr. Sardor Karimov
Residential Address: Navoi Street 12, Apt 4B
Chilonzor District, Tashkent, Uzbekistan
ID Number: 1234567890
Phone: +998 90 987 65 43
Service Location:
Tashkent Vision Care Center
Amir Temur Avenue 45
Tashkent, Uzbekistan
Optometrist Assigned: Dr. Nilufar Rahimova
Licence No: OPT-UZ-9988
| # | Description of Optometry Services & Goods | Qty | Unit Price (UZS) | Total (UZS) |
|---|---|---|---|---|
| 1 |
Comprehensive Eye Examination Includes visual acuity test, refraction, eye health assessment, and intraocular pressure measurement performed by a licensed Optometrist in Tashkent. |
1 | 350,000 | 350,000 |
| 2 |
Premium Anti-Reflective Lenses High-index 1.67 lenses with blue light filtering technology. Custom ground for prescription. |
1 Pair | 1,200,000 | 1,200,000 |
| 3 |
Titanium Optical Frames Lightweight, hypoallergenic titanium frame (Model: Tashkent-Modern-04). |
1 | 850,000 | 850,000 |
| 4 |
Dispensing and Adjustment Fee Professional fitting by Optometrist to ensure optimal comfort and visual alignment. |
1 | 100,000 | 100,000 |
| 5 |
Eye Health Consultation Detailed review of retinal health and prescription recommendations. |
1 | 150,000 | 150,000 |
Amount in words: Two million eight hundred sixty-eight thousand Uzbek Som.
Payment Instructions & Terms
This Invoice is issued by Tashkent Vision Care Center, a registered Optometry practice in Uzbekistan. Payment is due within 14 days of the invoice date. Please reference the Invoice Number (INV-2023-10-0042) on all payments.
Bank Transfer Details:
Bank Name: Kapitalbank JSC
Account Name: Tashkent Vision Care Center LLC
IBAN: UZ99 1234 5678 9012 3456 7890
SWIFT Code: KAPBUZ2X
Service Guarantee:
As a leading Optometrist in Tashkent, we guarantee the quality of our lenses and frames for 12 months against manufacturing defects. If you experience any discomfort with your new prescription, please return to our clinic for a complimentary adjustment within 30 days.
Legal Notice:
This document serves as a formal request for payment for services rendered. All prices are inclusive of applicable taxes unless stated otherwise. In accordance with the tax laws of Uzbekistan, a VAT receipt is provided upon request. Failure to pay by the due date may result in a late fee of 2% per month on the outstanding balance.
Authorized Signature
Dr. Nilufar Rahimova
Lead Optometrist
Client Acceptance
Mr. Sardor Karimov
Date: _______________
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