Invoice Paramedic in India Bangalore –Free Word Template Download with AI
Specialized Paramedic & Critical Care Services
Plot No. 45, 3rd Main Road, Indiranagar
Bangalore, Karnataka - 560038, India
GSTIN: 29ABCDE1234F1Z5
Phone: +91-80-1234-5678 | Email: [email protected]
Invoice #: INV-BLR-2023-0892
Date: October 24, 2023
Due Date: November 07, 2023
Service Location: Bangalore Urban District
Bill To:
Mr. Arjun Reddy
Flat 12B, Prestige Shantiniketan
Whitefield Main Road, Bangalore
Karnataka - 560066, India
Mobile: +91-98765-43210
Service Details:
Patient Name: Mrs. Lakshmi Reddy
Incident Location: Koramangala 4th Block, Bangalore
Destination Hospital: Manipal Hospital, HAL Airport Road
Service Date: October 24, 2023
Paramedic Unit ID: AMB-BLR-04
| # | Description of Paramedic Services | HSN/SAC | Qty | Rate (INR) | Amount (INR) |
|---|---|---|---|---|---|
| 1 |
Emergency Ambulance Dispatch (ICU Grade) Immediate deployment of a fully equipped ICU ambulance from Indiranagar station to Koramangala. Includes fuel surcharge for Bangalore traffic conditions and toll taxes applicable on Outer Ring Road. |
9993 | 1 | 2,500.00 | 2,500.00 |
| 2 |
Senior Paramedic Professional Fees On-site assessment and continuous monitoring by a certified Senior Paramedic with 5+ years of experience in critical care. Includes triage, vital signs monitoring, and patient stabilization during transit within Bangalore city limits. |
9993 | 1 | 1,800.00 | 1,800.00 |
| 3 |
Advanced Life Support (ALS) Equipment Usage Utilization of portable ventilator, cardiac monitor/defibrillator, and suction apparatus. Sterilization and maintenance costs for medical equipment used during the emergency response. |
9993 | 1 | 1,200.00 | 1,200.00 |
| 4 |
Oxygen Cylinder & Medical Consumables Provision of high-flow medical oxygen (2 cylinders) and IV fluids administered by the paramedic team during the 45-minute transit to the hospital. |
3005 | 1 | 800.00 | 800.00 |
| 5 |
Inter-Hospital Transfer Coordination Administrative coordination between the pickup location and the receiving hospital in Bangalore. Includes digital transmission of patient vitals to the receiving ER team prior to arrival. |
9993 | 1 | 500.00 | 500.00 |
Payment Instructions
Amount in Words: Indian Rupees Seven Thousand Eight Hundred Twenty-Four Only.
Please make the payment within 15 days of the invoice date. Late payments may attract a penalty of 2% per month.
Bank Transfer Details:
Bank Name: HDFC Bank
Account Name: MediCare Rapid Response Pvt. Ltd.
Account Number: 50200012345678
IFSC Code: HDFC0001234
Branch: Indiranagar, Bangalore
UPI ID: medicare.bangalore@hdfcbank
Terms & Conditions
- This invoice is valid for services rendered by our certified Paramedic staff in Bangalore, India.
- All medical services are provided under the supervision of a registered medical practitioner.
- Prices are inclusive of all local taxes applicable in Karnataka state unless specified otherwise.
- In case of any discrepancy in the billing, please contact our accounts department within 7 days.
- MediCare Rapid Response is not liable for medical outcomes, only for the quality of transport and paramedic care provided.
Authorized Signatory
Dr. Rajesh Kumar (Medical Director)
Received By
Client Signature
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