Invoice Physiotherapist in Egypt Cairo –Free Word Template Download with AI
Address: 15 El-Tahrir Street, Downtown, Cairo, Egypt
Phone: +20 2 2574 1234
Email: [email protected]
Tax ID: 123-456-789000
License No: MED-PT-2023-CAIRO-001
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Service Period: October 01, 2023 - October 24, 2023
Bill To (Patient)Name: Ahmed Mohamed Hassan
Address: Apt 402, Zamalek District, Cairo, Egypt
Phone: +20 10 1234 5678
National ID: 29801012345678
Insurance Provider: Bupa Egypt (Policy #BU-998877)
Service Provider (Physiotherapist)Lead Physiotherapist: Dr. Sarah El-Sayed, MSc
Specialization: Orthopedic & Sports Rehabilitation
Registration: Egyptian Medical Syndicate, Cairo Branch
Bank Details:
Bank Name: National Bank of Egypt (NBE)
Branch: Downtown Cairo
Account Name: Cairo Advanced Physiotherapy Center
IBAN: EG38 0019 0005 0000 0000 1234 567
Description of Physiotherapy Services Rendered| # | Service Description | Date | Qty | Unit Price (EGP) | Total (EGP) |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Assessment & Biomechanical Analysis | Oct 01 | 1 | 800.00 | 800.00 |
| 2 | Manual Therapy Session (Soft Tissue Mobilization) | Oct 03 | 1 | 500.00 | 500.00 |
| 3 | Therapeutic Ultrasound Treatment | Oct 05 | 1 | 350.00 | 350.00 |
| 4 | Electrical Stimulation (TENS) for Pain Management | Oct 08 | 1 | 300.00 | 300.00 |
| 5 | Personalized Exercise Prescription & Supervision | Oct 10 | 1 | 450.00 | 450.00 |
| 6 | Post-Operative Rehabilitation Consultation | Oct 12 | 1 | 600.00 | 600.00 |
| 7 | Hydrotherapy Session (Pool Therapy) | Oct 15 | 1 | 700.00 | 700.00 |
| 8 | Progress Evaluation & Treatment Plan Adjustment | Oct 18 | 1 | 500.00 | 500.00 |
| 9 | Advanced Joint Mobilization Techniques | Oct 20 | 1 | 550.00 | 550.00 |
| 10 | Final Discharge Report & Home Care Guidelines | Oct 24 | 1 | 400.00 | 400.00 |
- Currency: All amounts are quoted in Egyptian Pounds (EGP).
- Due Date: Payment is due within 14 days of the invoice date. Late payments may incur a 2% monthly interest charge as per Egyptian commercial regulations.
- Payment Methods: We accept bank transfers to the NBE account listed above, cash payments at our Cairo clinic, or major credit cards (Visa/Mastercard).
- Insurance: This invoice is formatted to meet the requirements of major insurance providers in Egypt. Please submit this document along with your medical report for reimbursement.
- Validity: This invoice is valid for 90 days from the date of issue.
This invoice serves as an official record of physiotherapy services provided by a licensed Physiotherapist in Egypt Cairo. The treatments listed were administered based on a clinical diagnosis and tailored rehabilitation plan. The patient is advised to continue the prescribed home exercise program to ensure optimal recovery outcomes.
In accordance with the Egyptian Medical Syndicate regulations, all patient records and treatment logs are maintained securely. If you have any questions regarding the charges or the medical services provided, please contact our billing department or the attending Physiotherapist directly.
Authorized By (Clinic Manager)
Dr. Sarah El-Sayed
Lead Physiotherapist
Received By (Patient)
Ahmed Mohamed Hassan
Date: _______________
Cairo Advanced Physiotherapy Center is a registered medical facility operating under the laws of the Arab Republic of Egypt. This invoice is generated electronically and is legally binding. The services provided adhere to the highest standards of physiotherapy practice in Cairo. For any disputes regarding this invoice, please contact our administration office within 30 days. Thank you for choosing our professional physiotherapy services in Egypt Cairo.
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