Invoice Orthodontist in Nepal Kathmandu –Free Word Template Download with AI
House No. 12, Road No. 4, New Baneshwor
Kathmandu, Nepal
Phone: +977-1-4445566
Email: [email protected]
PAN/VAT No: 123456789
INVOICE
Official Tax Invoice
Bill To: Rajesh SharmaHouse No. 45, Ward No. 15
Lazimpat, Kathmandu
Nepal
Phone: +977-9841234567
| # | Description of Orthodontic Services | Quantity | Unit Price (NPR) | Total (NPR) |
|---|---|---|---|---|
| 1 |
Initial Orthodontic Consultation & Diagnosis Comprehensive examination including panoramic X-ray, cephalometric analysis, and digital smile design assessment performed at our Kathmandu clinic. |
1 | 3,500.00 | 3,500.00 |
| 2 |
Fixed Metal Braces Installation (Full Arch) Supply and bonding of high-grade stainless steel brackets and archwires for both upper and lower jaws. Includes initial adjustment. |
1 | 85,000.00 | 85,000.00 |
| 3 |
Orthodontic Elastics & Accessories Provision of intermaxillary elastics, power chains, and ligatures required for the first phase of treatment. |
1 | 2,500.00 | 2,500.00 |
| 4 |
Professional Cleaning (Prophylaxis) Pre-braces scaling and polishing to ensure optimal oral hygiene before orthodontic appliance placement. |
1 | 1,500.00 | 1,500.00 |
| 5 |
Emergency Adjustment Visit Urgent repair of loose bracket on the lower left quadrant. |
1 | 1,000.00 | 1,000.00 |
| Subtotal: | 93,500.00 |
| Discount (Early Bird): | -3,500.00 |
| Taxable Amount: | 90,000.00 |
| VAT (13%): | 11,700.00 |
| Total Due (NPR): | 101,700.00 |
Bank Name: Nabil Bank Ltd., New Baneshwor Branch
Account Name: Kathmandu Smile Orthodontics Pvt. Ltd.
Account Number: 0123456789012
Terms and Conditions:
- This invoice is valid for payment within 14 days from the date of issue.
- Late payments may incur a penalty fee of 2% per month as per Nepal Rastra Bank guidelines.
- Orthodontic treatment duration varies by patient; this invoice covers the initial phase and materials only.
- Regular follow-up appointments every 4-6 weeks are mandatory for successful treatment outcomes.
- Patients are responsible for maintaining strict oral hygiene to prevent decalcification or gum disease during treatment.
- In case of lost or broken retainers post-treatment, additional charges will apply.
- All prices are quoted in Nepalese Rupees (NPR) and are inclusive of applicable taxes unless stated otherwise.
Important Notes:
Thank you for choosing Kathmandu Smile Orthodontics for your dental care needs. We are committed to providing world-class orthodontic services in the heart of Kathmandu, Nepal. Please keep this invoice for your records and insurance claims. For any queries regarding this invoice or your treatment plan, please contact our billing department at +977-1-4445566 or visit our clinic during business hours (10:00 AM - 7:00 PM, Monday to Saturday).
Authorized Signature
Dr. Anita Gurung
Lead Orthodontist
Patient Acknowledgement
Rajesh Sharma
Date: _______________
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