Invoice Radiologist in China Beijing –Free Word Template Download with AI
No. 88 Chaoyangmen North Street, Chaoyang District
Beijing, China 100020
Tel: +86 10 8512 3456 | Email: [email protected]
Unified Social Credit Code: 91110105MA01XXXXX
Invoice Number: INV-BJ-2023-0892
Date: October 24, 2023
Due Date: November 24, 2023
Service Provider (Radiologist)
Dr. Li Wei, MD, PhD
Senior Consultant Radiologist
Specialist in Neuroradiology & MRI
License No.: 11010519800101XXXX
Bill To
International Health Insurance Group
Attn: Claims Department
Tower A, CBD Center
Beijing, China 100022
This Invoice is issued for professional radiological interpretation services rendered by a certified Radiologist at our facility located in China Beijing. The services detailed below comply with the diagnostic standards set by the National Health Commission of the People's Republic of China.
| Description of Radiological Services | Quantity | Unit Price (CNY) | Total (CNY) |
|---|---|---|---|
|
Advanced MRI Brain Interpretation Comprehensive analysis of 3T MRI sequences including T1, T2, FLAIR, and DWI. Performed by Senior Radiologist Dr. Li Wei. |
1 | 1,200.00 | 1,200.00 |
|
CT Chest with Contrast (Radiologist Review) Detailed evaluation of pulmonary structures and mediastinum. Includes comparison with prior imaging. |
1 | 850.00 | 850.00 |
|
Urgent Radiology Consultation Same-day expert consultation regarding complex imaging findings in Beijing Capital Advanced Radiology Center. |
1 | 600.00 | 600.00 |
|
Digital Imaging Archiving & Report Generation Secure storage of DICOM files and generation of bilingual (Chinese/English) diagnostic reports. |
2 | 150.00 | 300.00 |
| Subtotal: | 2,950.00 CNY |
| VAT (6% for Medical Services): | 177.00 CNY |
| Grand Total: | 3,127.00 CNY |
Payment Terms and Conditions
Payment is due within 30 days of the invoice date. Please make payments via bank transfer to the account details below. This Invoice reflects the professional fees for the Radiologist only and does not include equipment usage fees, which are billed separately by the hospital administration.
Bank Details:
Bank Name: Bank of China, Beijing Chaoyang Branch
Account Name: Beijing Capital Advanced Radiology Center Co., Ltd.
Account Number: 6222 0210 0123 4567 890
SWIFT Code: BKCHCNBJ300
All services were performed in accordance with the regulations governing medical practice in China Beijing. The Radiologist certifies that the interpretations provided are accurate to the best of their professional knowledge.
Authorized Signature
Dr. Li Wei, MD, PhD
Senior Radiologist
Accepted By
__________________________
Date: ____________________
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