Invoice Physiotherapist in Egypt Alexandria –Free Word Template Download with AI
Providing Excellence in Physical Rehabilitation
Smouha District, Alexandria, Egypt
Tax ID: EG-998877665544
Invoice #: ALEX-PHY-2023-089
Date: October 24, 2023
Due Date: November 07, 2023
Bill From (Physiotherapist)
Dr. Ahmed Hassan
Licensed Physiotherapist
Alexandria Rehab & Physiotherapy Center
123 El-Horreya Avenue, Smouha
Alexandria, Egypt
Phone: +20 3 456 7890
Email: [email protected]
Bill To (Patient)
Mr. Mohamed Ali
45 Saad Zaghloul Street
Raml Station, Alexandria
Egypt
Phone: +20 10 123 4567
National ID: 29001012345678
| Description of Physiotherapy Services | Quantity | Unit Price (EGP) | Total (EGP) |
|---|---|---|---|
|
Initial Comprehensive Assessment Detailed evaluation of musculoskeletal condition, posture analysis, and range of motion testing conducted at our Alexandria clinic. |
1 | 800.00 | 800.00 |
|
Manual Therapy Session (Lumbar Spine) Hands-on treatment including joint mobilization and soft tissue massage to alleviate lower back pain. |
4 | 600.00 | 2,400.00 |
|
Therapeutic Exercise Program Supervised strengthening and flexibility exercises tailored for post-operative recovery. |
4 | 500.00 | 2,000.00 |
|
Electrotherapy (TENS/Interferential) Pain management using electrical stimulation modalities. |
4 | 300.00 | 1,200.00 |
|
Ultrasound Therapy Deep heat therapy to promote tissue healing and reduce inflammation. |
4 | 350.00 | 1,400.00 |
|
Home Exercise Plan Consultation Instruction and documentation of exercises to be performed at home. |
1 | 400.00 | 400.00 |
Terms and Conditions & Payment Information
This invoice represents the professional fees for physiotherapy services rendered by Dr. Ahmed Hassan at the Alexandria Rehab & Physiotherapy Center. Payment is due within 14 days of the invoice date. Late payments may incur a penalty fee of 2% per month.
Payment Methods:
- Bank Transfer: National Bank of Egypt, Branch: Smouha, Account No: 1234567890
- Cash: Accepted at the clinic reception in Alexandria.
- Credit Card: Visa/Mastercard accepted with a 2% processing fee.
Please reference the Invoice Number (ALEX-PHY-2023-089) when making payments. For any discrepancies regarding the services provided or the billing details, please contact our administrative office immediately. This document serves as an official receipt for insurance claims and tax purposes in accordance with Egyptian regulations.
Authorized Signature (Physiotherapist)
Dr. Ahmed Hassan
Patient Acknowledgement
Mr. Mohamed Ali
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