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Invoice Orthodontist in Myanmar Yangon –Free Word Template Download with AI

Specialized Dental Care & Orthodontic Solutions

123 Bogyoke Aung San Road, Kamayut Township

Yangon, Myanmar

Tel: +95 1 234 5678 | Email: [email protected]

Tax Registration No: MM-2023-987654

Official Payment Request

Bill To:

Mr. Min Thu Aung

45/2 Inya Road, Dagon Township

Yangon, Myanmar

Phone: +95 9 123 456 789

Email: [email protected]

Invoice Number: INV-2023-10-045

Date of Issue: October 24, 2023

Due Date: November 07, 2023

Service Period: Oct 2023 - Nov 2023

This document serves as an official Invoice for professional orthodontic services rendered by Yangon Elite Orthodontics. As a premier Orthodontist practice located in the heart of Myanmar Yangon, we are dedicated to providing world-class dental alignment and corrective treatments. This invoice details the costs associated with the initial consultation, diagnostic imaging, and the commencement of the fixed appliance therapy as agreed upon during your treatment planning session.

# Description of Orthodontic Services Quantity Unit Price (MMK) Total (MMK)
1 Comprehensive Orthodontic Consultation
Includes clinical examination, treatment planning, and discussion of options (Braces vs. Aligners) by lead Orthodontist.
1 150,000 150,000
2 Diagnostic Imaging & Records
Panoramic X-ray (OPG), Cephalometric X-ray, and digital intra-oral photography required for precise diagnosis in Yangon standards.
1 100,000 100,000
3 Pre-Orthodontic Dental Hygiene
Professional scaling and polishing to ensure optimal oral health before appliance placement.
1 50,000 50,000
4 Fixed Appliance Therapy (Metal Braces) - Initial Phase
Bonding of brackets and archwires on upper and lower arches. Includes high-quality stainless steel components.
1 2,500,000 2,500,000
5 Orthodontic Retainer (Hawley) - Upper Arch
Custom-fabricated retainer to maintain alignment post-treatment.
1 150,000 150,000
Subtotal: 2,950,000 MMK Discount (Early Bird): -100,000 MMK VAT (5%): 142,500 MMK Total Due: 2,992,500 MMK

Payment Instructions

Please remit payment via bank transfer to the following account:

Bank: KBZ Bank (Kyaing Bank)

Account Name: Yangon Elite Orthodontics Co., Ltd.

Account Number: 0123-4567-8901-2345

Branch: Yangon Central Branch

Alternatively, cash payments in Myanmar Kyat (MMK) are accepted at our clinic in Yangon. Please reference the Invoice Number (INV-2023-10-045) when making your payment.

Terms and Conditions

  1. Payment is due within 14 days of the invoice date.
  2. Late payments may incur a penalty fee of 2% per month.
  3. This invoice covers the initial phase of orthodontic treatment. Subsequent adjustment visits are billed separately or included in the package plan as discussed.
  4. Yangon Elite Orthodontics reserves the right to pause treatment if payments are overdue.
  5. Any damage to orthodontic appliances due to negligence will be charged at the repair cost.
  6. Prices are subject to change based on the availability of materials in Myanmar.

Thank you for choosing Yangon Elite Orthodontics. We are committed to helping you achieve a healthy, beautiful smile. Our team of experienced Orthodontists in Yangon is here to support you throughout your journey.

Authorized Signature

Dr. Khin Mar Lar

Lead Orthodontist

Received By

Date: _______________

Signature: _______________

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