Invoice Paramedic in Indonesia Jakarta –Free Word Template Download with AI

PT. Global Logistics Indonesia

Attn: Human Resources Department

Jl. Gatot Subroto Kav. 72, Kuningan

Jakarta Selatan, Indonesia Jakarta 12950

Contact Person: Budi Santoso

#	Description of Paramedic Services	Quantity / Hours	Unit Price (IDR)	Total (IDR)
1	Emergency Medical Response Dispatch Deployment of certified Paramedic unit to the client's facility in South Jakarta. Includes rapid response time guarantee within the Indonesia Jakarta metropolitan area.	1	1,500,000	1,500,000
2	On-Site Advanced Life Support (ALS) Provision of advanced medical care by a senior Paramedic. Services included patient assessment, airway management, intravenous therapy, and cardiac monitoring during the incident.	2.5 hrs	800,000	2,000,000
3	Medical Transport to Cipto Mangunkusumo Hospital Ambulance transport services utilizing a fully equipped Paramedic vehicle. Includes navigation through Jakarta traffic and coordination with receiving hospital staff.	1	2,500,000	2,500,000
4	Medical Equipment Usage & Consumables Usage of defibrillator, oxygen supply, splints, and sterile bandages. Includes restocking fees for single-use medical supplies utilized during the paramedic intervention.	1	750,000	750,000
5	Post-Incident Medical Reporting Comprehensive documentation of the paramedic care provided, required for insurance claims and corporate health records within Indonesia Jakarta regulations.	1	500,000	500,000

Subtotal: IDR 7,250,000 VAT (PPN) 11%: IDR 797,500 TOTAL DUE: IDR 8,047,500

Please remit payment within 30 days of the invoice date. Late payments may incur a penalty of 2% per month.

Bank Transfer Details:

Bank: Bank Central Asia (BCA)

Account Name: PT. Jakarta Medical Response

Account Number: 123-456-7890

Swift Code: CENAIDJA

Please reference Invoice Number INV-JKT-2023-8942 in your transfer description.

1. This invoice represents the final cost for paramedic services rendered in Indonesia Jakarta on the date specified above.

2. All medical services were performed by licensed paramedics adhering to the Indonesian Ministry of Health standards.

3. The client agrees to indemnify Jakarta Medical Response against any claims arising from the patient's condition unrelated to paramedic negligence.

4. Disputes regarding this invoice must be raised in writing within 14 days of receipt.

5. This document serves as a valid tax invoice for corporate expense reporting in Indonesia.

Authorized By:

Dr. Andi Wijaya, MD

Medical Director

Jakarta Medical Response

Received By:

__________________________

Date: ____________________

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