Invoice Physiotherapist in China Shanghai –Free Word Template Download with AI
1288 Nanjing West Road, Jing'an District
Shanghai, China 200040
Tel: +86 21 6288 9900
Email: [email protected]
Unified Social Credit Code: 91310106MA1K3XXXXX
Invoice Number: INV-SH-2023-0892
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Service Period: October 01, 2023 - October 23, 2023
Bill To (Patient/Client)Mr. Alexander Chen
Room 1502, Tower B, The Bund Center
188 Zhongshan East 2nd Road
Huangpu District, Shanghai, China 200002
ID/Passport No.: E12345678
Phone: +86 138 0000 1234
Service Provider (Physiotherapist)Dr. Sarah Lin, PT, DPT
Licensed Physiotherapist
License No.: SH-PT-2019-4455
Specialization: Sports Rehabilitation & Orthopedics
Shanghai Elite Physiotherapy Clinic
Service Description & Clinical Context
This invoice represents the professional physiotherapy services rendered by Dr. Sarah Lin at our clinic located in the heart of Shanghai, China. The treatment plan was specifically designed to address the client's chronic lower back pain and restricted mobility resulting from a repetitive strain injury. Given the fast-paced lifestyle in Shanghai, many patients require intensive rehabilitation to return to their professional duties efficiently.
The services included a comprehensive initial assessment, manual therapy techniques, therapeutic exercise prescription, and electrotherapy. All treatments were conducted in accordance with the highest standards of physiotherapy practice recognized in China and internationally. The physiotherapist provided detailed guidance on ergonomics and lifestyle adjustments suitable for the client's work environment in Shanghai. This invoice covers all sessions attended during the specified period, ensuring transparency in billing for medical services.
| # | Description of Physiotherapy Services | Date | Qty | Unit Price (CNY) | Total (CNY) |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Physiotherapy Assessment & Diagnosis | Oct 01 | 1 | 800.00 | 800.00 |
| 2 | Manual Therapy Session (Soft Tissue Mobilization & Joint Manipulation) | Oct 03 | 1 | 600.00 | 600.00 |
| 3 | Therapeutic Exercise Program & Core Stability Training | Oct 05 | 1 | 550.00 | 550.00 |
| 4 | Electrotherapy (TENS & Ultrasound) for Pain Management | Oct 08 | 1 | 400.00 | 400.00 |
| 5 | Follow-up Assessment & Treatment Plan Adjustment | Oct 10 | 1 | 500.00 | 500.00 |
| 6 | Advanced Manual Therapy & Myofascial Release | Oct 12 | 1 | 600.00 | 600.00 |
| 7 | Functional Movement Screening & Rehabilitation | Oct 15 | 1 | 550.00 | 550.00 |
| 8 | Post-Isometric Relaxation & Stretching Protocol | Oct 17 | 1 | 500.00 | 500.00 |
| 9 | Final Progress Evaluation & Discharge Planning | Oct 23 | 1 | 600.00 | 600.00 |
Payment Terms & Instructions
Currency: All amounts are quoted in Chinese Yuan (CNY/RMB).
Due Date: Payment is due within 14 days of the invoice date.
Bank Transfer Details:
Bank Name: Bank of China, Shanghai Branch
Account Name: Shanghai Elite Physiotherapy Clinic Co., Ltd.
Account Number: 4567 8901 2345 6789
SWIFT Code: BKCHCNBJ300
Other Payment Methods: We also accept Alipay, WeChat Pay, and major credit cards (Visa, Mastercard, UnionPay) at our clinic reception in Shanghai.
Invoice Validity: This document serves as a valid financial record for insurance claims and corporate reimbursement purposes in China. Please retain this invoice for your records.
Authorized Signature
Dr. Sarah LinLead Physiotherapist
Shanghai Elite Physiotherapy Clinic ⬇️ Download as DOCX Edit online as DOCX
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