Invoice Radiologist in Indonesia Jakarta –Free Word Template Download with AI
Jl. Sudirman No. 123, Jakarta Selatan
Indonesia Jakarta 12190
Phone: +62 21 1234 5678
Email: [email protected]
NPWP: 01.234.567.8-901.000 Billed To:
PT. Medika Sejahtera Hospital
Jl. Gatot Subroto No. 45
Indonesia Jakarta 12710
Contact Person: Dr. Ahmad Wijaya
Email: [email protected] Invoice Number: INV-JRC-2023-00123
Date: October 15, 2023
Due Date: November 15, 2023
Service Period: October 1-31, 2023
This invoice details the professional radiology services rendered by our team of certified radiologists at Jakarta Radiology Center, located in Indonesia Jakarta. Our services include diagnostic imaging interpretation, consultation, and reporting for various medical conditions. All procedures were conducted in accordance with Indonesian medical standards and regulations.
| Description | Quantity | Unit Price (IDR) | Total (IDR) |
|---|---|---|---|
| CT Scan Interpretation - Abdomen | 15 | 1,500,000 | 22,500,000 |
| MRI Interpretation - Brain | 10 | 2,000,000 | 20,000,000 |
| X-Ray Interpretation - Chest | 50 | 500,000 | 25,000,000 |
| Ultrasound Interpretation - Obstetrics | 20 | 750,000 | 15,000,000 |
| Emergency Radiology Consultation | 5 | 1,000,000 | 5,000,000 |
| Second Opinion Radiology Report | 3 | 1,200,000 | 3,600,000 |
VAT (11%): IDR 10,021,000
Total Amount Due: IDR 101,121,000
Payment is due within 30 days from the invoice date. Please make payments via bank transfer to the following account:
Bank: Bank Central Asia (BCA)
Account Name: Jakarta Radiology Center
Account Number: 123-456-7890
SWIFT Code: CENAIDJA
All radiology services were performed by licensed radiologists registered with the Indonesian Radiologist Association (PERADI). Reports are available in both Indonesian and English upon request. For any discrepancies or questions regarding this invoice, please contact our billing department within 14 days of receipt.
Thank you for choosing Jakarta Radiology Center for your diagnostic imaging needs in Indonesia Jakarta. We are committed to providing accurate, timely, and professional radiological services to support patient care across the region.
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