Invoice Paramedic in Malaysia Kuala Lumpur –Free Word Template Download with AI
Level 12, Menara KL Medical Centre
Jalan Tun Razak, 50400 Kuala Lumpur, Malaysia
Tel: +603-2188-9900 | Email: [email protected]
Company Reg No: 201801023456 (1345678-X)
SST Reg No: 00234567890001
Invoice No: KL-EMS-2024-0892
Date: 15 October 2024
Due Date: 15 November 2024
Reference: Ambulance Dispatch #KL-AMB-44521
BILL TO:
Mr. Ahmad Razak bin Ismail
Lot 15, Jalan Bukit Bintang
55100 Kuala Lumpur, Malaysia
IC No: 850612-10-5678
Contact: +6012-345-6789
SERVICE DETAILS:
Service Type: Emergency Paramedic Response & Patient Transport
Date of Service: 10 October 2024
Time of Dispatch: 14:35 MYT
Pickup Location: Menara KLCC, Ground Floor Lobby, Kuala Lumpur
Destination: Hospital Kuala Lumpur (HKL), Emergency Department
Attending Paramedics: En. David Tan (Reg: MP-8821) & En. Raj Kumar (Reg: MP-7743)
Ambulance Unit: KL-AMB-042 (Type B - Advanced Life Support)
| Description of Services | Quantity | Unit Price (MYR) | Total (MYR) |
|---|---|---|---|
| Emergency Paramedic Dispatch Fee (KL City Limits) | 1 | 350.00 | 350.00 |
| Advanced Life Support (ALS) Paramedic Attendance (2 Officers) | 1 | 450.00 | 450.00 |
| On-Scene Medical Assessment & Stabilization | 1 | 200.00 | 200.00 |
| Cardiac Monitoring & ECG Interpretation | 1 | 150.00 | 150.00 |
| Intravenous (IV) Therapy Setup & Medication Administration | 1 | 180.00 | 180.00 |
| Oxygen Therapy & Respiratory Support | 1 | 120.00 | 120.00 |
| Patient Transport (KLCC to HKL - 8.5 km) | 1 | 280.00 | 280.00 |
| Emergency Equipment Usage & Consumables | 1 | 95.00 | 95.00 |
| Post-Transport Medical Report Documentation | 1 | 75.00 | 75.00 |
Payment Terms & Important Notes:
1. Payment is due within 30 days from the invoice date. Late payments may incur a 2% monthly interest charge.
2. Accepted payment methods: Bank Transfer (Maybank, CIMB, Public Bank), Credit Card (Visa, Mastercard), or Online Banking (FPX).
3. Bank Details: Maybank Berhad, Account Name: KL Emergency Medical Services Sdn Bhd, Account No: 5634 1289 0045, Branch: KLCC.
4. This invoice covers paramedic services rendered in accordance with the Malaysian Qualifications Agency (MQA) standards and Ministry of Health Malaysia guidelines.
5. All paramedics are registered with the Malaysian Paramedic Association (MPA) and hold valid practicing certificates.
6. For insurance claims, please attach this invoice along with the medical report and hospital admission documents.
7. If you have any questions regarding this invoice, please contact our billing department at +603-2188-9900 ext. 205 or email [email protected].
8. This document serves as an official receipt upon payment confirmation. Please retain for your records.
Authorized Signature
Dr. Lim Wei Jie
Medical Director
KL Emergency Medical Services Sdn Bhd
Received By
_________________________
Date: ___________________
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