Invoice Physiotherapist in Tanzania Dar es Salaam –Free Word Template Download with AI
Address: Samora Avenue, Plot 45, Masaki Business District
City: Dar es Salaam, Tanzania
Phone: +255 22 211 3344
Email: [email protected]
TIN: TZ-9876543210
Invoice Number: INV-TZ-2023-0892
Date Issued: October 24, 2023
Due Date: November 07, 2023
Payment Status: Pending
Bill To:
Mr. John Mwangi
Senior Logistics Manager
Dar es Salaam Port Authority
P.O. Box 12345
Dar es Salaam, Tanzania
Service Provider:
Dr. Amina Juma, MSc Physiotherapy
Lead Physiotherapist
License No: TMC-PHY-4567
Member of the Tanzania Physiotherapy Association
| # | Description of Physiotherapy Services | Date of Service | Quantity | Unit Price (TZS) | Total (TZS) |
|---|---|---|---|---|---|
| 1 |
Initial Comprehensive Assessment Detailed evaluation of musculoskeletal condition, range of motion testing, and gait analysis conducted at our Dar es Salaam clinic. |
Oct 10, 2023 | 1 | 150,000 | 150,000 |
| 2 |
Manual Therapy Session (Lumbar Spine) Soft tissue mobilization and joint manipulation techniques to alleviate lower back pain. |
Oct 12, 2023 | 1 | 120,000 | 120,000 |
| 3 |
Therapeutic Exercise Program Supervised strengthening and flexibility exercises tailored for post-injury rehabilitation. |
Oct 14, 2023 | 1 | 100,000 | 100,000 |
| 4 |
Electrotherapy (TENS/Interferential) Application of electrical stimulation for pain management and muscle recovery. |
Oct 16, 2023 | 1 | 80,000 | 80,000 |
| 5 |
Hydrotherapy Session Aquatic therapy session utilizing warm water pool facilities for low-impact rehabilitation. |
Oct 18, 2023 | 1 | 130,000 | 130,000 |
| 6 |
Follow-up Consultation & Progress Review Review of treatment efficacy and adjustment of the rehabilitation plan. |
Oct 20, 2023 | 1 | 100,000 | 100,000 |
| 7 |
Home Exercise Program Documentation Preparation of detailed written instructions and diagrams for continued self-care at home. |
Oct 20, 2023 | 1 | 50,000 | 50,000 |
Payment Instructions & Terms
Currency: All amounts are quoted in Tanzanian Shillings (TZS).
Bank Transfer: Please make payments to the following account:
- Bank: CRDB Bank Plc, Masaki Branch
- Account Name: Dar es Salaam Advanced Physiotherapy Clinic Ltd
- Account Number: 1234567890
- Branch Code: 001
Mobile Money: Payments via M-Pesa or Tigo Pesa are accepted. Please use the shortcode: 255700000000.
Terms: Payment is due within 14 days of the invoice date. Late payments may incur a penalty fee of 2% per month.
Important Note: This invoice serves as an official receipt for insurance claims. Please retain this document for your records. Our clinic adheres to all regulations set by the Tanzania Medical Council regarding physiotherapy practice.
Authorized By:
Dr. Amina Juma
Lead Physiotherapist
Received By:
__________________________
Date: ____________________
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