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Invoice Radiologist in Ivory Coast Abidjan –Free Word Template Download with AI

Specialized Diagnostic Imaging Services

123 Boulevard de la République, Cocody

Abidjan, Ivory Coast

Tel: +225 27 22 44 55 66

Email: [email protected]

RC: ABJ-2023-RAD-001 | NIF: CI-987654321

Invoice Number: INV-2024-0892

Date of Issue: October 24, 2024

Due Date: November 24, 2024

Payment Terms: Net 30 Days

Bill To:

Client Name: Clinique Internationale de la Riviera

Address: 45 Avenue Franchet d'Esperey, Riviera 2

City: Abidjan, Ivory Coast

Contact Person: Dr. Amina Koné, Hospital Administrator

Phone: +225 27 22 33 44 55

Email: [email protected]

Professional Radiology Services Rendered

This invoice details the professional fees for diagnostic imaging interpretation and consultation services provided by our certified Radiologist team at Abidjan Advanced Radiology Center. All procedures were conducted in accordance with the medical standards of the Ivory Coast and international radiological safety protocols.

# Description of Service Date Quantity Amount (XOF)
1 CT Scan Interpretation (Abdomen & Pelvis)
Performed by Senior Radiologist. Includes detailed diagnostic report and digital image analysis.
Oct 15, 2024 1 150,000
2 MRI Brain with Contrast
Comprehensive neurological assessment by specialist Radiologist. Includes contrast administration monitoring.
Oct 16, 2024 1 250,000
3 Mammography Screening & BI-RADS Assessment
Specialized breast imaging interpretation by certified Radiologist in Abidjan.
Oct 17, 2024 2 180,000
4 Ultrasound Abdominal (Complete)
Real-time imaging and interpretation by Radiologist. Includes liver, kidney, and gallbladder evaluation.
Oct 18, 2024 3 135,000
5 X-Ray Chest (PA & Lateral)
Standard radiographic interpretation for respiratory assessment.
Oct 19, 2024 5 75,000
6 Interventional Radiology Consultation
Pre-procedural planning and post-procedural review by Interventional Radiologist.
Oct 20, 2024 1 200,000
7 Emergency Radiology On-Call Fee
Coverage for urgent imaging interpretation outside standard hours in Abidjan.
Oct 21, 2024 1 100,000
Subtotal: 1,090,000 XOF VAT (18% - Ivory Coast Standard Rate): 196,200 XOF Discount (Early Payment): -50,000 XOF TOTAL DUE: 1,236,200 XOF

Payment Instructions & Terms

Please remit payment within 30 days of the invoice date. Payments can be made via bank transfer to our account at Ecobank Abidjan, Account Name: Abidjan Advanced Radiology Center, Account Number: 1234567890, SWIFT: ECOBCIAB.

This invoice represents professional services rendered by a qualified Radiologist in accordance with the regulations of the Order of Physicians of Ivory Coast. All diagnostic reports have been delivered digitally to the referring physician. Late payments may incur a penalty of 1.5% per month on the outstanding balance.

For any discrepancies or questions regarding this invoice, please contact our billing department at [email protected] or call +225 27 22 44 55 66 during business hours (Monday-Friday, 8:00 AM - 5:00 PM GMT).

Thank you for trusting Abidjan Advanced Radiology Center for your diagnostic imaging needs. We are committed to providing high-quality radiological services to healthcare providers and patients throughout Abidjan and the Ivory Coast.

Abidjan Advanced Radiology Center | 123 Boulevard de la République, Cocody, Abidjan, Ivory Coast

This is a computer-generated invoice and does not require a signature.

© 2024 Abidjan Advanced Radiology Center. All rights reserved.

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