Invoice Physiotherapist in Sri Lanka Colombo –Free Word Template Download with AI
123 Galle Road, Colombo 03, Sri Lanka
Tel: +94 11 234 5678 | Email: [email protected]
Registration No: SL-PT-2023-8899
VAT Registration No: 123456789V
Professional Physiotherapy Services
Bill To:
Mr. Arjuna Perera
45/1, Nawala Road, Battaramulla
Colombo 10, Sri Lanka
NIC: 198567891234
Phone: +94 77 123 4567
Description of Physiotherapy Services Rendered
The following invoice details the comprehensive physiotherapy treatments and rehabilitation services provided at our Colombo clinic. All services were delivered by a registered physiotherapist in accordance with the standards set by the Physiotherapy Board of Sri Lanka. Treatments included manual therapy, electrotherapy, therapeutic exercises, and postural correction tailored to the patient's specific condition.
| # | Service Description | Qty | Unit Price (LKR) | Total (LKR) |
|---|---|---|---|---|
| 1 |
Initial Physiotherapy Assessment & Diagnosis Comprehensive evaluation including medical history review, physical examination, and treatment plan formulation. |
1 | 5,500.00 | 5,500.00 |
| 2 |
Manual Therapy Sessions (Lower Back Pain) Hands-on techniques including joint mobilization, soft tissue massage, and myofascial release. |
8 | 4,000.00 | 32,000.00 |
| 3 |
Electrotherapy (TENS & Ultrasound) Pain management and tissue healing using Transcutaneous Electrical Nerve Stimulation and therapeutic ultrasound. |
8 | 2,500.00 | 20,000.00 |
| 4 |
Therapeutic Exercise Program Supervised strengthening, stretching, and core stability exercises tailored for lumbar spine rehabilitation. |
8 | 3,000.00 | 24,000.00 |
| 5 |
Postural Correction & Ergonomic Advice Assessment of workplace ergonomics and home exercise guidance to prevent recurrence. |
2 | 2,000.00 | 4,000.00 |
| 6 |
Follow-up Consultation & Progress Review Mid-treatment and final assessment to adjust therapy plan and evaluate outcomes. |
2 | 3,500.00 | 7,000.00 |
| Subtotal: | LKR 92,500.00 |
| Discount (5% Loyalty): | - LKR 4,625.00 |
| Net Amount: | LKR 87,875.00 |
| VAT (18%): | LKR 15,817.50 |
| Total Amount Due: | LKR 103,692.50 |
Payment Instructions
Bank Transfer:
Bank: Commercial Bank of Ceylon PLC
Branch: Colombo Fort
Account Name: Colombo Advanced Physiotherapy & Rehabilitation Centre
Account Number: 1234-5678-9012-3456
SWIFT Code: COMB LK CX
Cash/Card: Payments accepted at our Colombo clinic during business hours (9:00 AM - 6:00 PM, Monday to Saturday).
Please quote Invoice Number INV-2024-0045 with your payment.
Terms & Conditions
- This invoice is issued for physiotherapy services rendered in Colombo, Sri Lanka, by a licensed physiotherapist.
- Payment is due within 14 days of the invoice date. Late payments may incur a 2% monthly interest charge.
- All prices are in Sri Lankan Rupees (LKR) and include applicable taxes as per Sri Lankan law.
- VAT is charged at the standard rate of 18% as required by the Inland Revenue Department of Sri Lanka.
- Any disputes regarding this invoice must be raised within 7 days of receipt.
- Physiotherapy treatments are based on professional assessment and may require ongoing sessions for optimal recovery.
- This document serves as an official receipt upon payment confirmation.
Thank you for choosing Colombo Advanced Physiotherapy & Rehabilitation Centre. We are committed to providing high-quality, evidence-based physiotherapy care in Sri Lanka. Your health and mobility are our priority. For any queries regarding this invoice or your treatment plan, please contact our billing department or your assigned physiotherapist directly.
Authorized Signature:
Ms. Nimali Fernando
Lead Physiotherapist
Colombo Advanced Physiotherapy & Rehabilitation Centre
Received By (Patient):
_________________________
Name: Mr. Arjuna Perera
Date: _________________________
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