Invoice Pharmacist in Thailand Bangkok –Free Word Template Download with AI
123/45 Sukhumvit Road, Khlong Toei Nuea
Watthana District, Bangkok 10110, Thailand
Tax ID: 0-123-45678-90-1-2345
License No. 5678/2023 (Licensed Pharmacist)
Email: [email protected]
Phone: +66 2 123 4567
Invoice #: INV-BKK-2023-089
Date: October 24, 2023
Due Date: November 24, 2023
Bill To:
Siam Wellness Clinic
Attn: Dr. Somchai Jirapongse
789 Phayathai Road, Ratchathewi
Bangkok 10400, Thailand
Tax ID: 0-987-65432-10-9-8765
Dear Valued Client,
This Invoice serves as a formal request for payment for professional pharmaceutical services rendered by a licensed Pharmacist operating within the jurisdiction of Thailand Bangkok. The services detailed below were provided in strict accordance with the regulations set forth by the Thai Food and Drug Administration (FDA) and the Pharmaceutical Council of Thailand.
As a dedicated healthcare provider in the bustling metropolis of Bangkok, our team ensures that all medication management, clinical consultations, and regulatory compliance tasks are executed with the highest level of precision and care. The following line items reflect the specialized expertise required to maintain optimal patient safety and operational efficiency in your facility.
| # | Description of Service | Quantity | Unit Price (THB) | Total (THB) |
|---|---|---|---|---|
| 1 | Clinical Pharmacy Consultation: Comprehensive review of patient medication profiles to prevent adverse drug interactions. This service was conducted on-site at your Bangkok clinic by a senior Pharmacist specializing in internal medicine. | 10 Hours | 1,500.00 | 15,000.00 |
| 2 | Regulatory Compliance Audit: Detailed inspection of drug storage conditions and inventory management systems to ensure full compliance with Thai pharmaceutical laws and Bangkok municipal health codes. | 1 Day | 8,000.00 | 8,000.00 |
| 3 | Specialized Compounding Services: Preparation of customized dosage forms for pediatric patients requiring specific concentrations not available in standard commercial products. | 5 Units | 1,200.00 | 6,000.00 |
| 4 | Staff Training Workshop: Educational session for nursing staff regarding proper medication administration techniques and handling of controlled substances in accordance with Thai law. | 1 Session | 5,000.00 | 5,000.00 |
| 5 | Emergency On-Call Support: Availability of a licensed Pharmacist for urgent pharmacological advice during non-business hours throughout the month of October. | 1 Month | 3,000.00 | 3,000.00 |
Payment Instructions
Please remit payment within 30 days of the invoice date. Payments can be made via bank transfer to the following account:
Bank Name: Kasikorn Bank (KBank)
Branch: Sukhumvit 21 Branch, Bangkok
Account Name: Bangkok Clinical Pharmacy Services Co., Ltd.
Account Number: 123-4-56789-0
SWIFT Code: KASITHBK
Please reference the Invoice Number (INV-BKK-2023-089) in your transfer description to ensure proper allocation of funds.
Terms and Conditions
1. All services are provided by licensed professionals registered with the Ministry of Public Health, Thailand.
2. Late payments may incur a penalty fee of 1.5% per month on the outstanding balance.
3. This invoice is valid for tax deduction purposes in Thailand.
4. Any disputes regarding the services rendered must be raised within 14 days of receiving this invoice.
5. Confidentiality of all patient data and clinical information is maintained in accordance with Thai privacy laws.
Authorized by:
Dr. Nattapong Srisawat
Chief Pharmacist
License No. 5678/2023
Received by:
__________________________
Name & Signature
Date
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