Invoice Radiologist in DR Congo Kinshasa –Free Word Template Download with AI
Specialized Radiology & Diagnostic Center
123 Avenue de la Paix, Gombe
Kinshasa, Democratic Republic of the Congo
Tel: +243 81 000 0000 | Email: [email protected]
NIF: 001234567890 | RCCM: CD-KIN-2023-001
Invoice #: INV-KIN-2023-089
Date: October 24, 2023
Due Date: November 24, 2023
Reference: Radiology Consultation & Imaging
Bill To:
Client Name: Dr. Jean-Pierre Mukendi / General Hospital of Kinshasa
Address: 45 Boulevard du 30 Juin, Matonge, Kinshasa, DR Congo
Contact: +243 99 123 4567
Insurance/Payer ID: INS-CD-998877
This document serves as an official invoice for professional radiological services rendered by a certified Radiologist at Imaging Kinshasa Pro. Located in the heart of Kinshasa, Democratic Republic of the Congo, our facility is dedicated to providing high-precision diagnostic imaging to support clinical decision-making. The services detailed below were performed in accordance with the medical standards required for patient care in the region. This invoice reflects the professional fees for the interpretation of medical images, the operation of advanced imaging equipment, and the administrative processing required to deliver comprehensive diagnostic reports to the referring physician or healthcare institution.
| Description of Radiological Services | Quantity | Unit Price (USD) | Total (USD) |
|---|---|---|---|
|
Computed Tomography (CT) Scan - Abdomen & Pelvis Includes contrast administration and detailed analysis by senior Radiologist. |
1 | 250.00 | 250.00 |
|
Magnetic Resonance Imaging (MRI) - Brain High-resolution neuro-imaging with radiological interpretation report. |
1 | 400.00 | 400.00 |
|
Digital X-Ray Series - Chest & Spine Standard radiographic imaging with immediate preliminary reading. |
2 | 45.00 | 90.00 |
|
Ultrasound Examination - Abdominal Real-time sonographic evaluation performed by certified technician and reviewed by Radiologist. |
1 | 120.00 | 120.00 |
|
Professional Radiologist Consultation Fee Expert review of complex cases and tele-radiology consultation for referral. |
1 | 150.00 | 150.00 |
|
Diagnostic Report Generation & Archiving Digital storage of DICOM images and formal written report delivery. |
1 | 50.00 | 50.00 |
Payment Terms and Conditions
Payment is due within 30 days of the invoice date. Late payments may incur a penalty fee of 2% per month. Payments can be made via bank transfer to our account at Ecobank Kinshasa or via mobile money (M-Pesa/Airtel Money) for smaller transactions. Please reference the Invoice Number (INV-KIN-2023-089) when making any payment.
Radiologist Certification: All diagnostic reports included in this invoice have been reviewed and signed by a board-certified Radiologist licensed to practice in the Democratic Republic of the Congo. Our facility in Kinshasa adheres to international safety standards regarding radiation exposure and patient privacy.
Validity: This invoice is valid for 90 days. Please contact our billing department in Kinshasa if you have any questions regarding the services rendered or the charges applied. We are committed to providing transparent and accurate billing for all radiological procedures performed at our center.
Thank you for choosing Imaging Kinshasa Pro for your diagnostic imaging needs. We appreciate your trust in our medical professionals and our commitment to excellence in healthcare within the DR Congo.
Authorized Signature
Dr. Sarah Mbemba, MD, Radiology
Medical Director
Received By
__________________________
Date: ____________________
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