Invoice Paramedic in Bangladesh Dhaka –Free Word Template Download with AI
Service Type: Professional Paramedic & Ambulance Dispatch
House #42, Road #11, Dhanmondi R/A
Dhaka-1205, Bangladesh
Tel: +880 2-9123456 | Email: [email protected]
TIN: 123456789012 | VAT Reg: BD-987654321
Invoice #: INV-2023-10-045
Date: October 24, 2023
Due Date: November 07, 2023
Status: PENDING
Bill To:
Mr. Rafiqul Islam
Flat #302, Green View Apartment
Gulshan-1, Dhaka-1212, Bangladesh
Phone: +880 1711-223344
Service Location & Context:
Incident Location: Uttara Sector 7, Dhaka, Bangladesh
Destination Hospital: United Hospital, Gulshan, Dhaka
Service Date: October 24, 2023
Time of Dispatch: 02:15 AM
Time of Arrival: 03:45 AM
Paramedic ID: PM-BD-889
Service Breakdown
| # | Description of Paramedic Services | Qty | Unit Price (BDT) | Total (BDT) |
|---|---|---|---|---|
| 1 |
Emergency Ambulance Dispatch (Dhaka Metro) Mobilization of fully equipped Type B Ambulance from Dhanmondi station to Uttara Sector 7. Includes fuel surcharge and night-time emergency response fee applicable within Dhaka city limits. |
1 | 2,500.00 | 2,500.00 |
| 2 |
Senior Paramedic On-Site Assessment Immediate triage and vital sign monitoring by certified paramedic upon arrival. Includes assessment of respiratory distress and administration of oxygen therapy. |
1 | 1,500.00 | 1,500.00 |
| 3 |
Advanced Life Support (ALS) During Transit Continuous cardiac monitoring and IV line establishment during transport from Uttara to Gulshan. Includes usage of portable defibrillator and suction apparatus. |
1 | 3,000.00 | 3,000.00 |
| 4 |
Medical Consumables & Oxygen Usage of sterile IV sets, cannulas, bandages, and 5 liters of medical-grade oxygen cylinder utilized during the emergency intervention in Bangladesh. |
1 | 800.00 | 800.00 |
| 5 |
Inter-Hospital Transfer Coordination Administrative coordination with United Hospital emergency department for seamless patient handover. Includes digital transmission of paramedic clinical notes. |
1 | 500.00 | 500.00 |
| 6 |
Traffic Navigation & Priority Clearance Specialized navigation through congested Dhaka traffic routes to ensure minimum transit time. Includes siren and light usage fees. |
1 | 700.00 | 700.00 |
Payment Instructions
Please remit payment within 14 days of the invoice date. Payments can be made via bank transfer or mobile banking (bKash/Nagad) widely used in Bangladesh.
Bank Name: BRAC Bank PLC
Account Name: Dhaka Emergency Medical Services Ltd.
Account Number: 1234-5678-9012-3456
Branch: Dhanmondi Branch, Dhaka
bKash Corporate: 01700-000000
Terms and Conditions
- This invoice represents the final cost for paramedic services rendered on the specified date in Dhaka, Bangladesh.
- Late payments will incur a penalty of 2% per month on the outstanding balance.
- All medical services were provided by licensed paramedics adhering to the Bangladesh Medical Commission standards.
- Disputes regarding charges must be raised within 7 days of receiving this invoice.
- This document serves as a valid receipt for insurance claims and tax purposes in Bangladesh.
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