Invoice Physiotherapist in Russia Moscow –Free Word Template Download with AI
Legal Entity: LLC "MedRehab Moscow"
Address: 123001, Russia, Moscow, Tverskaya Street, Building 15, Office 402
Phone: +7 (495) 123-45-67
Email: [email protected]
INN (Tax ID): 7701234567
KPP: 770101001
Bank: Sberbank of Russia
BIC: 044525225
Account: 40702810000000001234
Invoice #: INV-2023-10-089
Date: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14
Bill To:
Client Name: Alexei Ivanovich Petrov
Address: 119991, Russia, Moscow, Presnenskaya Naberezhnaya, 12, Apt 45
Phone: +7 (916) 555-01-99
Email: [email protected]
Service Location:
Facility: Moscow Elite Physiotherapy Center
Address: 123001, Russia, Moscow, Tverskaya Street, Building 15
Attending Physiotherapist: Dr. Elena Sergeevna Volkova
License No: LO-77-01-011234
| # | Description of Physiotherapy Services | Quantity | Unit Price (RUB) | Total (RUB) | VAT (20%) |
|---|---|---|---|---|---|
| 1 |
Initial Consultation & Assessment Comprehensive evaluation of musculoskeletal condition, medical history review, and development of a personalized rehabilitation plan tailored to the patient's needs in accordance with Russian medical standards. |
1 | 5,000.00 | 5,000.00 | 1,000.00 |
| 2 |
Manual Therapy Session (60 mins) Specialized hands-on techniques performed by a licensed physiotherapist to restore joint mobility, reduce muscle tension, and alleviate pain. Includes soft tissue mobilization and joint manipulation. |
4 | 4,500.00 | 18,000.00 | 3,600.00 |
| 3 |
Electrotherapy Treatment Application of electrical currents (TENS/EMS) to stimulate nerves and muscles, promoting healing and pain relief. Conducted using state-of-the-art equipment certified for use in Russia. |
6 | 2,000.00 | 12,000.00 | 2,400.00 |
| 4 |
Therapeutic Exercise Program Guided physical exercises designed to improve strength, flexibility, and balance. Supervised by a qualified physiotherapist to ensure proper form and prevent injury. |
8 | 3,000.00 | 24,000.00 | 4,800.00 |
| 5 |
Ultrasound Therapy Deep heat therapy using sound waves to accelerate tissue repair and reduce inflammation. Ideal for treating chronic conditions and soft tissue injuries. |
5 | 2,500.00 | 12,500.00 | 2,500.00 |
| 6 |
Progress Evaluation & Plan Adjustment Follow-up assessment to monitor recovery progress, adjust treatment protocols, and provide recommendations for home exercises and lifestyle modifications. |
2 | 3,500.00 | 7,000.00 | 1,400.00 |
Payment Instructions & Notes:
This invoice is issued in accordance with the Federal Law of the Russian Federation "On the Application of Cash Registers" (No. 54-FZ). Payment should be made within 14 days from the invoice date. Please include the invoice number in the payment reference.
Bank Transfer Details:
Beneficiary: LLC "MedRehab Moscow"
Bank: Sberbank of Russia
Account: 40702810000000001234
BIC: 044525225
Correspondent Account: 30101810400000000225
All physiotherapy services are provided by licensed professionals registered with the Ministry of Health of the Russian Federation. Our clinic adheres to the highest standards of medical care and patient confidentiality.
For any questions regarding this invoice or your treatment plan, please contact our billing department at +7 (495) 123-45-67 or email [email protected].
Authorized Signature
Dr. Elena Sergeevna Volkova
Head Physiotherapist
Received By
Alexei Ivanovich Petrov
Date: _______________
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