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]
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 |
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
- Payment is due within 14 days of the invoice date.
- Late payments may incur a penalty fee of 2% per month.
- This invoice covers the initial phase of orthodontic treatment. Subsequent adjustment visits are billed separately or included in the package plan as discussed.
- Yangon Elite Orthodontics reserves the right to pause treatment if payments are overdue.
- Any damage to orthodontic appliances due to negligence will be charged at the repair cost.
- 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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