Invoice Psychiatrist in Nepal Kathmandu –Free Word Template Download with AI
Licensed Psychiatrist Practice
Thamel, Kathmandu, Nepal
Phone: +977-1-4XXXXXX
Email: [email protected]
PAN/VAT: 123456789
Invoice Number: INV-2024-0042
Date: 15th November 2024
Due Date: 30th November 2024
Payment Status: Pending
From (Service Provider)Dr. Rajesh Sharma, MD (Psychiatry)
Senior Consultant Psychiatrist
Kathmandu Mind Wellness Clinic
House No. 45, Thamel Marg
Kathmandu, Bagmati Province, Nepal
Medical Council of Nepal Registration: MCN-12345
Bill To (Patient/Client)Mr. Amit Thapa
House No. 12, Jhamsikhel
Lalitpur District, Kathmandu Valley
Nepal
Phone: +977-98XXXXXXXX
Email: [email protected]
Professional Psychiatrist Services Rendered| # | Description of Service | Date | Quantity | Unit Price (NPR) | Total (NPR) |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Psychiatric Evaluation and Diagnosis Consultation | 01-Nov-2024 | 1 | 3,500.00 | 3,500.00 |
| 2 | Follow-up Psychiatric Therapy Session (60 minutes) | 08-Nov-2024 | 1 | 2,500.00 | 2,500.00 |
| 3 | Follow-up Psychiatric Therapy Session (60 minutes) | 12-Nov-2024 | 1 | 2,500.00 | 2,500.00 |
| 4 | Psychiatric Medication Management and Prescription Review | 12-Nov-2024 | 1 | 1,500.00 | 1,500.00 |
| 5 | Psychological Assessment Battery (Standardized Testing) | 05-Nov-2024 | 1 | 4,000.00 | 4,000.00 |
| 6 | Emergency Psychiatric Consultation (Weekend/Holiday) | 10-Nov-2024 | 1 | 3,000.00 | 3,000.00 |
| 7 | Family Counseling Session (Psychiatric Guidance) | 14-Nov-2024 | 1 | 3,500.00 | 3,500.00 |
Payment Instructions
Please make payment within 15 days of the invoice date. Late payments may incur a 2% monthly interest charge.
Bank Transfer:
Bank Name: Nepal Investment Bank Limited
Branch: Thamel, Kathmandu
Account Name: Kathmandu Mind Wellness Clinic
Account Number: 0123456789012
SWIFT Code: NIBLNEKX
Alternative Payment Methods:
eSewa ID: 98XXXXXXXX
Khalti ID: 98XXXXXXXX
Cash payments accepted at our Kathmandu clinic during business hours.
Terms and Conditions1. This invoice is issued by a licensed Psychiatrist practicing in Kathmandu, Nepal, in accordance with the Medical Council of Nepal regulations.
2. All psychiatric services provided are confidential and protected under Nepali medical privacy laws.
3. Payment is due within 15 days of the invoice date. Please reference the invoice number (INV-2024-0042) when making payment.
4. In case of any discrepancies or questions regarding this invoice, please contact our clinic office within 7 days.
5. This invoice serves as an official receipt for tax purposes in Nepal. Please retain for your records.
6. Cancellation policy: Appointments cancelled less than 24 hours in advance may be subject to a 50% consultation fee.
7. All prices are quoted in Nepalese Rupees (NPR). Foreign currency payments will be converted at the prevailing exchange rate.
8. This document is generated electronically and is valid without a physical signature, though a signed copy is available upon request.
Authorized Signature
Dr. Rajesh Sharma
Consultant Psychiatrist
Received By
Date: _______________
Signature: _______________
Thank you for choosing Kathmandu Mind Wellness Clinic for your psychiatric care needs.
Your mental health is our priority. We are committed to providing compassionate, evidence-based psychiatric treatment in Kathmandu, Nepal.
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