Invoice Radiologist in India Mumbai –Free Word Template Download with AI
Lead Radiologist: Dr. Rajesh Kumar, MD (Radiology), DNB
304, Healthcare Tower, Bandra Kurla Complex
Bandra East, Mumbai, Maharashtra 400051
India
Phone: +91 22 6789 1234 | Email: [email protected]
GSTIN: 27AABCU9603R1ZM
Invoice No: MRC-2023-10-045
Date: October 24, 2023
Due Date: November 07, 2023
Place of Supply: Mumbai, Maharashtra
Bill To:
City General Hospital
Attn: Accounts Payable Department
12, Nariman Point
Mumbai, Maharashtra 400021
India
GSTIN: 27AADFC1234E1Z5
Service Location:
City General Hospital - Imaging Wing
12, Nariman Point
Mumbai, Maharashtra 400021
India
| # | Description of Radiological Services | HSN/SAC | Qty | Rate (INR) | Amount (INR) |
|---|---|---|---|---|---|
| 1 |
Consultation by Senior Radiologist Comprehensive review of patient history and preliminary imaging assessment by Dr. Rajesh Kumar. Includes detailed clinical correlation and diagnostic planning. |
999312 | 1 | 2,500.00 | 2,500.00 |
| 2 |
MRI Brain with Contrast (3 Tesla) High-resolution Magnetic Resonance Imaging of the brain including T1, T2, FLAIR, and DWI sequences with Gadolinium contrast. Detailed interpretation report provided by the Radiologist. |
999312 | 1 | 8,500.00 | 8,500.00 |
| 3 |
CT Scan Chest with Angiography Computed Tomography of the chest with contrast to evaluate pulmonary vasculature. Includes 3D reconstruction and expert radiological analysis for embolism detection. |
999312 | 1 | 7,200.00 | 7,200.00 |
| 4 |
Ultrasound Abdomen & Pelvis (Color Doppler) Real-time sonographic evaluation of abdominal organs and pelvic structures. Includes Doppler flow study and written diagnostic report. |
999312 | 1 | 3,000.00 | 3,000.00 |
| 5 |
Interventional Radiology Procedure Image-guided biopsy of liver lesion under Ultrasound guidance. Includes procedural fees, sterile kit, and post-procedure monitoring by the Radiologist. |
999312 | 1 | 12,000.00 | 12,000.00 |
| 6 |
Second Opinion Review Expert second opinion on previous imaging studies from another facility in Mumbai. Includes comparative analysis and updated diagnostic recommendations. |
999312 | 1 | 1,800.00 | 1,800.00 |
Amount in words: Forty-One Thousand Three Hundred Indian Rupees Only.
Payment Instructions:Please make payment via NEFT/RTGS or Demand Draft in favor of "Mumbai Advanced Radiology Centre".
Bank Name: HDFC Bank
Branch: Bandra Kurla Complex, Mumbai
Account Number: 50200012345678
IFSC Code: HDFC0001234
MICR Code: 400240002
Kindly quote the Invoice Number (MRC-2023-10-045) while making the payment.
Terms and Conditions:
- Payment is due within 15 days from the date of this invoice.
- Late payments may incur a penalty of 1.5% per month on the outstanding amount.
- All radiological reports are confidential and intended solely for the treating physician and patient.
- This invoice is generated in compliance with the Goods and Services Tax (GST) Act, 2017, applicable in India.
- Any disputes regarding the services rendered must be raised within 7 days of receiving this invoice.
- Jurisdiction for any legal matters shall be the courts of Mumbai, Maharashtra, India.
- Digital copies of this invoice are valid for accounting and tax purposes.
Service Description:
Mumbai Advanced Radiology Centre provides state-of-the-art diagnostic imaging services under the supervision of experienced Radiologists. Our services include MRI, CT scans, Ultrasound, X-rays, Mammography, and Interventional Radiology procedures. All interpretations are performed by qualified medical professionals registered with the Maharashtra Medical Council. We adhere to international safety standards and maintain strict quality control protocols to ensure accurate diagnoses for patients across Mumbai and the surrounding regions in India.
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