Invoice Radiologist in Japan Osaka –Free Word Template Download with AI
1-2-3 Umeda, Kita-ku, Osaka, 530-0001, Japan
Tel: +81-6-1234-5678 | Fax: +81-6-1234-5679
Email: [email protected]
Corporate Number: 1234567890123
Invoice Number: INV-2023-OSK-0892
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Service Period: October 1, 2023 - October 31, 2023
Bill To
International Medical Partners Ltd.
Attn: Finance Department
4-5-6 Namba, Chuo-ku, Osaka, 542-0076, Japan
Japan Consumption Tax ID: 123-45-6789012
Service Location
Osaka University Hospital
Department of Diagnostic Radiology
2-1 Yamadaoka, Suita, Osaka, 565-0871, Japan
| # | Description of Radiological Services | Quantity | Unit Price (JPY) | Total Amount (JPY) |
|---|---|---|---|---|
| 1 |
Consultation Fee: Senior Radiologist Professional diagnostic consultation and interpretation services provided by Dr. Kenji Tanaka, Board-Certified Radiologist, specializing in neuroradiology and musculoskeletal imaging. Includes detailed report generation compliant with Japanese Ministry of Health, Labour and Welfare standards. |
40 | 25,000 | 1,000,000 |
| 2 |
MRI Interpretation Services (High-Resolution) Comprehensive analysis of Magnetic Resonance Imaging scans performed at Osaka University Hospital. Includes 3D reconstruction analysis and differential diagnosis recommendations for complex neurological cases. |
150 | 8,500 | 1,275,000 |
| 3 |
CT Scan Diagnostic Reporting Urgent and routine Computed Tomography scan interpretations. Includes contrast-enhanced abdominal CTs and chest CTs for oncological staging. Reports delivered within 24 hours of scan completion. |
200 | 6,000 | 1,200,000 |
| 4 |
Interventional Radiology Support On-site supervision and procedural guidance for minimally invasive radiological procedures. Includes biopsy guidance, vascular access procedures, and embolization support at the Osaka facility. |
15 | 45,000 | 675,000 |
| 5 |
Mammography Screening Analysis Specialized breast imaging interpretation services including digital mammography and ultrasound correlation. BI-RADS classification reporting in accordance with international and Japanese guidelines. |
80 | 5,500 | 440,000 |
| 6 |
Pediatric Radiology Consultation Specialized imaging interpretation for pediatric patients. Includes dose optimization assessment and age-appropriate diagnostic recommendations for neonatal and pediatric cases. |
25 | 12,000 | 300,000 |
| 7 |
Second Opinion Radiology Review Independent diagnostic review of complex cases requiring multi-disciplinary consultation. Includes written reports and teleconference participation with referring physicians in Osaka and surrounding Kansai region. |
10 | 35,000 | 350,000 |
| 8 |
Quality Assurance & PACS System Management Monthly quality control of imaging equipment, Picture Archiving and Communication System (PACS) maintenance, and radiologist workflow optimization consulting services. |
1 | 150,000 | 150,000 |
Payment Instructions
Bank Transfer (Recommended):
Bank Name: MUFG Bank, Ltd. (Mitsubishi UFJ Financial Group)
Branch: Umeda Branch, Osaka
Branch Code: 001
Account Type: Ordinary Account (Futsu)
Account Number: 1234567
Account Name: Osaka Advanced Radiology Center Co., Ltd.
SWIFT Code: BOTKJPJT
Reference: Please include Invoice Number INV-2023-OSK-0892 in your payment reference.
Note: Payments must be made in Japanese Yen (JPY). Late payments will incur a penalty of 1.5% per month on the outstanding balance, in accordance with Japanese commercial law.
Terms and Conditions
1. All radiological services described in this invoice were performed by licensed radiologists registered with the Japan Radiological Society and the Osaka Medical Association.
2. Diagnostic reports are confidential and protected under Japanese medical privacy laws (Act on the Protection of Personal Information).
3. Payment is due within 30 days from the date of invoice. Please remit payment to the bank account specified above.
4. Any disputes regarding this invoice must be raised within 14 days of receipt. After this period, the invoice will be considered accepted.
5. This invoice is issued in accordance with the Japanese Consumption Tax Law. The tax rate of 10% applies to all medical diagnostic services rendered.
6. Osaka Advanced Radiology Center reserves the right to suspend services if payment is not received by the due date.
7. All imaging data and reports remain the property of the patient and the referring medical institution. Osaka Advanced Radiology Center retains copies for quality assurance purposes for a period of 10 years, as required by Japanese medical regulations.
8. For any questions regarding this invoice, please contact our billing department at [email protected] or call +81-6-1234-5678 during business hours (Monday to Friday, 9:00 AM to 6:00 PM JST).
Authorized Signature:
Dr. Kenji Tanaka
Chief Radiologist
Osaka Advanced Radiology Center
Received By:
_________________________
Name:
Date:
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT