Invoice Physiotherapist in Uzbekistan Tashkent –Free Word Template Download with AI
Professional Physiotherapist Services
Address: Amir Temur Avenue 45, Yunusabad District
Tashkent, Uzbekistan 100000
Phone: +998 71 234 56 78
Email: [email protected]
VAT Registration: UZ-123456789
License No: MED-T-2024-0892
Invoice Number: INV-2024-0347
Date Issued: November 15, 2024
Due Date: November 30, 2024
Payment Terms: Net 15 Days
Currency: Uzbekistan Som (UZS)
Bill To:
Client Name: Karimov Rustam Bekovich
Organization: Tashkent Sports Rehabilitation Clinic
Address: Mustaqillik Street 128, Mirzo Ulugbek District
Tashkent, Uzbekistan 100084
Tax ID: 1234567890123
Contact: +998 90 123 45 67
Service Location:
Tashkent Physiotherapy Center
Amir Temur Avenue 45
Yunusabad District
Tashkent, Uzbekistan 100000
Treatment Period: October 1 - November 15, 2024
Physiotherapist: Dr. Alisher Nazarov
| # | Description of Physiotherapy Services | Quantity | Unit Price (UZS) | Total (UZS) | Notes |
|---|---|---|---|---|---|
| 1 | Initial Physiotherapy Assessment and Diagnosis - Comprehensive evaluation of musculoskeletal condition, posture analysis, and treatment plan development for patient recovery in Tashkent facility | 1 | 350,000 | 350,000 | October 1, 2024 |
| 2 | Manual Therapy Sessions - Deep tissue massage, joint mobilization, and myofascial release techniques performed by certified physiotherapist specializing in sports rehabilitation | 12 | 280,000 | 3,360,000 | Bi-weekly sessions |
| 3 | Electrotherapy Treatment - TENS, ultrasound therapy, and interferential current therapy for pain management and tissue healing at our Tashkent clinic | 15 | 220,000 | 3,300,000 | Daily sessions |
| 4 | Therapeutic Exercise Program - Personalized rehabilitation exercises including strengthening, flexibility training, and proprioception exercises supervised by physiotherapist | 18 | 250,000 | 4,500,000 | Three times weekly |
| 5 | Hydrotherapy Sessions - Aquatic physiotherapy treatment in heated pool for joint mobility improvement and muscle relaxation at Tashkent Physiotherapy Center | 8 | 320,000 | 2,560,000 | Twice weekly |
| 6 | Postural Correction and Ergonomic Consultation - Assessment of workplace setup and daily activities with recommendations for preventing future injuries in Uzbekistan workplace environment | 2 | 300,000 | 600,000 | October 15 & November 1 |
| 7 | Progress Evaluation and Treatment Plan Adjustment - Mid-treatment assessment by senior physiotherapist to evaluate recovery progress and modify rehabilitation protocol accordingly | 2 | 280,000 | 560,000 | October 20 & November 10 |
| 8 | Final Assessment and Discharge Report - Comprehensive evaluation of treatment outcomes, functional improvement measurement, and detailed medical report for insurance purposes in Uzbekistan | 1 | 400,000 | 400,000 | November 15, 2024 |
| 9 | Therapeutic Equipment Rental - Home exercise equipment including resistance bands, foam roller, and balance board for continued rehabilitation after clinic sessions in Tashkent | 1 | 850,000 | 850,000 | Monthly rental |
| 10 | Administrative and Documentation Fees - Medical record keeping, insurance documentation, and regulatory compliance fees as required by Uzbekistan healthcare standards | 1 | 150,000 | 150,000 | Standard fee |
Amount in words: Eighteen million two hundred fifty-two thousand six hundred eight Uzbekistan Som only
Payment Instructions:
Bank Name: Kapitalbank Uzbekistan
Account Name: Tashkent Physiotherapy Center LLC
Account Number: 8601234567890123456
SWIFT Code: KAPBUZ22
IBAN: UZ86KAPB20000000000000000000
Payment Reference: Please include Invoice Number INV-2024-0347
Payments can also be made via Payme or Click mobile banking applications widely used in Tashkent, Uzbekistan. Please contact our billing department for mobile payment details.
Terms and Conditions:
1. Payment is due within 15 days from the invoice date. Late payments will incur a penalty of 0.5% per day as per Uzbekistan commercial regulations.
2. All physiotherapy services provided by our certified physiotherapist team comply with the medical standards and regulations established by the Ministry of Health of the Republic of Uzbekistan.
3. This invoice covers all physiotherapy treatments rendered at our Tashkent facility during the specified treatment period. Additional services will be billed separately.
4. The discount of 2% has been applied for early payment. This discount is valid only if payment is received before November 25, 2024.
5. VAT is calculated at the standard rate of 12% as required by the Tax Code of the Republic of Uzbekistan for medical services.
6. All medical records and treatment documentation will be maintained for a minimum of 5 years in accordance with Uzbekistan healthcare regulations.
7. Any disputes regarding this invoice should be resolved through negotiation between the parties. If unresolved, disputes will be settled in the courts of Tashkent, Uzbekistan.
8. This invoice is valid for insurance reimbursement purposes. Please retain this document for your records and submit to your insurance provider as required.
9. Our physiotherapist team is committed to providing the highest quality rehabilitation services in Tashkent. We thank you for choosing Tashkent Physiotherapy Center for your healthcare needs.
Official Stamp Authorized SignatureTashkent Physiotherapy Center Received By
Client Representative
Date: _______________
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