Invoice Physiotherapist in India New Delhi –Free Word Template Download with AI
Address: 42, Block C, Greater Kailash Part I, New Delhi, India - 110048
Phone: +91-11-4567-8900 | Email: [email protected]
GSTIN: 07AABCD1234E1Z5
Reg. No: DL-PHY-2015-8892
Professional Physiotherapy Services
Bill To:
Mr. Rajesh Kumar Sharma
Flat 204, Sunrise Apartments
Saket District, New Delhi, India - 110017
GSTIN: 07ABCDE5678F1Z9
Patient ID: DSC-2023-445
| # | Description of Physiotherapy Services | Date | Qty | Rate (INR) | Amount (INR) |
|---|---|---|---|---|---|
| 1 |
Initial Comprehensive Assessment Detailed evaluation of musculoskeletal condition, posture analysis, and range of motion testing conducted by a senior physiotherapist in New Delhi. |
Oct 01 | 1 | 2,500.00 | 2,500.00 |
| 2 |
Manual Therapy & Joint Mobilization Soft tissue manipulation and joint mobilization techniques to alleviate chronic lower back pain. |
Oct 05 | 1 | 1,800.00 | 1,800.00 |
| 3 |
Electrotherapy (TENS & IFT) Application of Transcutaneous Electrical Nerve Stimulation and Interferential Therapy for pain management. |
Oct 08 | 1 | 1,200.00 | 1,200.00 |
| 4 |
Therapeutic Exercise Program Supervised core strengthening and flexibility exercises tailored for lumbar stability. |
Oct 12 | 1 | 1,500.00 | 1,500.00 |
| 5 |
Ultrasound Therapy Deep heat therapy to promote tissue healing and reduce inflammation in the affected area. |
Oct 15 | 1 | 1,000.00 | 1,000.00 |
| 6 |
Follow-up Consultation & Progress Review Assessment of treatment efficacy and modification of the rehabilitation plan. |
Oct 20 | 1 | 1,500.00 | 1,500.00 |
| 7 |
Advanced Dry Needling Session Targeted needling technique to release myofascial trigger points. |
Oct 24 | 1 | 2,000.00 | 2,000.00 |
Amount in words: Thirteen Thousand Seventy Indian Rupees Only.
Payment Instructions
Please make the payment within 14 days of the invoice date. We accept bank transfers, UPI, and major credit cards.
Bank Name: State Bank of India
Account Name: Delhi Spine & Motion Physiotherapy Clinic
Account Number: 30589XXXXXXX1234
IFSC Code: SBIN0001234
UPI ID: delhispine@upi
Terms and Conditions
- This invoice is issued in accordance with the Goods and Services Tax (GST) laws of India.
- Payment is due within 14 days from the date of issue. Late payments may incur a penalty of 2% per month.
- All physiotherapy services provided are subject to the clinical judgment of the treating physiotherapist.
- Patients are required to inform the clinic of any changes in their medical condition prior to scheduled sessions.
- Cancellations must be made at least 24 hours in advance to avoid being charged for the session.
- This document serves as a valid receipt for insurance claims and tax deductions under Section 80D of the Income Tax Act, India.
- For any discrepancies regarding this invoice, please contact our billing department in New Delhi within 7 days.
- By accepting our services, the patient agrees to the privacy policy regarding medical records storage.
Authorized Signatory
Dr. Anita Verma, MPT (Ortho)
Lead Physiotherapist
Received By
__________________________
Date: ____________________
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