Invoice Paramedic in Sri Lanka Colombo –Free Word Template Download with AI
123 Galle Road, Colombo 03, Sri Lanka
Phone: +94 11 234 5678 | Email: [email protected]
Registration No: SL-AMB-2023-8899
VAT No: 123456789V
Invoice #: INV-2023-10-450
Date: October 24, 2023
Due Date: November 07, 2023
Bill To:
Mr. R. Perera
45 Kollupitiya Road
Colombo 05, Sri Lanka
Phone: +94 77 123 4567
Service Location:
Emergency Response
From: Colombo Elite Paramedic Station
To: National Hospital of Sri Lanka
Colombo 10, Sri Lanka
| Description of Paramedic Services | Quantity | Unit Price (LKR) | Total (LKR) |
|---|---|---|---|
|
Emergency Ambulance Dispatch - Class A Immediate response and transport of patient from residential location in Colombo 05 to National Hospital. Includes advanced life support equipment and two certified paramedics. |
1 | 25,000.00 | 25,000.00 |
|
Advanced Cardiac Life Support (ACLS) On-site assessment, ECG monitoring, and administration of emergency medications by senior paramedic during transit. |
1 | 15,000.00 | 15,000.00 |
|
Oxygen Therapy & Respiratory Support Provision of high-flow oxygen and respiratory assistance throughout the journey within Colombo city limits. |
1 | 5,000.00 | 5,000.00 |
|
Medical Consumables & Supplies IV fluids, bandages, splints, and other disposable medical items used during the paramedic intervention. |
1 | 3,500.00 | 3,500.00 |
|
After-Hours Emergency Surcharge Service rendered between 10:00 PM and 6:00 AM in Colombo metropolitan area. |
1 | 7,500.00 | 7,500.00 |
|
Medical Report & Documentation Detailed paramedic service report for insurance and hospital records, compliant with Sri Lanka health regulations. |
1 | 2,000.00 | 2,000.00 |
Payment Instructions:
Please make payment within 14 days of the invoice date. Payments can be made via bank transfer or cash.
Bank Details:
Bank: Commercial Bank of Ceylon
Branch: Colombo Fort
Account Name: Colombo Elite Paramedic Services (Pvt) Ltd
Account Number: 1234-5678-9012-3456
SWIFT Code: COMBLKLX
Terms and Conditions:
1. This invoice is issued for paramedic emergency services provided in Sri Lanka Colombo as per the agreed service level.
2. All services were rendered by licensed and certified paramedics in accordance with Sri Lankan health and safety standards.
3. Late payments will incur a penalty of 1.5% per month on the outstanding amount.
4. Please quote the invoice number (INV-2023-10-450) when making payment.
5. For any queries regarding this invoice, please contact our billing department at [email protected].
6. This document serves as an official record of paramedic services rendered and may be used for insurance claims.
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