Invoice Physiotherapist in Iraq Baghdad –Free Word Template Download with AI
License No: IRAQ-MOH-PT-2024-8842
Address: Al-Karrada District, Street 14, Building 56
City: Baghdad, Iraq
Phone: +964 770 123 4567
Email: [email protected]
Tax ID: IQ-TAX-99887766
Professional Physiotherapy Services
Bill To:Mr. Ahmed Hassan Al-Jubouri
Al-Mansour District, Block 3, House 12
Baghdad, Iraq
Phone: +964 780 987 6543
Insurance Provider: Takaful Al-Rafidain
Policy Number: TR-2024-554433
| # | Service Description | Date | Qty | Unit Price (IQD) | Total (IQD) |
|---|---|---|---|---|---|
| 1 | Initial Physiotherapy Assessment & Diagnosis - Comprehensive evaluation of musculoskeletal condition, posture analysis, and treatment planning for lower back pain. | Oct 01, 2024 | 1 | 25,000 | 25,000 |
| 2 | Manual Therapy Session - Joint mobilization and soft tissue manipulation techniques performed by licensed Physiotherapist in Baghdad clinic. | Oct 03, 2024 | 1 | 20,000 | 20,000 |
| 3 | Therapeutic Exercise Program - Customized strengthening and flexibility exercises for core stability and spinal alignment. | Oct 05, 2024 | 1 | 18,000 | 18,000 |
| 4 | Electrotherapy Treatment - TENS and ultrasound therapy for pain management and tissue healing. | Oct 08, 2024 | 1 | 15,000 | 15,000 |
| 5 | Manual Therapy Session - Follow-up treatment focusing on lumbar spine mobility and muscle relaxation techniques. | Oct 10, 2024 | 1 | 20,000 | 20,000 |
| 6 | Therapeutic Exercise Program - Progressive resistance training and functional movement re-education. | Oct 12, 2024 | 1 | 18,000 | 18,000 |
| 7 | Electrotherapy Treatment - Continued pain management using advanced modalities available at our Baghdad facility. | Oct 15, 2024 | 1 | 15,000 | 15,000 |
| 8 | Manual Therapy Session - Deep tissue massage and myofascial release for chronic tension relief. | Oct 17, 2024 | 1 | 20,000 | 20,000 |
| 9 | Therapeutic Exercise Program - Advanced functional training and ergonomic education for workplace prevention. | Oct 19, 2024 | 1 | 18,000 | 18,000 |
| 10 | Progress Evaluation & Treatment Adjustment - Comprehensive review of patient progress and modification of rehabilitation plan. | Oct 22, 2024 | 1 | 22,000 | 22,000 |
| 11 | Final Physiotherapy Session - Discharge planning, home exercise program prescription, and follow-up recommendations. | Oct 24, 2024 | 1 | 20,000 | 20,000 |
Amount in words: Two Hundred Six Thousand Three Hundred Eighty-Six Iraqi Dinars Only
Payment Instructions & Terms:
Payment Methods Accepted:
- Cash Payment (Iraqi Dinars) at our Baghdad clinic office
- Bank Transfer: Rasheed Bank, Branch: Al-Karrada, Account No: 1234567890123456
- Credit/Debit Card: Visa, MasterCard accepted at clinic
- Mobile Payment: ZainCash, AsiaHawala accepted
Terms and Conditions:
1. Payment is due within 14 days from the invoice date as per Iraqi commercial regulations.
2. Late payments may incur a penalty of 2% per month on the outstanding balance.
3. This Invoice is valid for insurance claims with all major healthcare providers in Iraq.
4. Please retain this document for your medical records and tax purposes.
5. All physiotherapy services are provided by licensed professionals registered with the Iraqi Ministry of Health.
6. For insurance reimbursement, please submit this original Invoice along with your treatment report.
Important Notice: This Invoice confirms that all physiotherapy services were rendered at our licensed facility in Baghdad, Iraq, in accordance with national healthcare standards and professional guidelines.
Authorized By:
Dr. Layla KarimLead Physiotherapist
Baghdad Advanced Physiotherapy Center
Received By:
Patient SignatureDate: _______________ ⬇️ Download as DOCX Edit online as DOCX
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