Invoice Radiologist in Myanmar Yangon –Free Word Template Download with AI
Specialized Radiology & Diagnostic Services
123 Bogyoke Aung San Road, Kamaryut Township
Yangon, Myanmar
Tax Registration No: YGN-RAD-2023-8842
Email: [email protected] | Phone: +95 1 234 5678
Invoice #: YGN-INV-2023-10-045
Date: October 24, 2023
Due Date: November 07, 2023
Bill To:
Myanmar National Health Insurance Corp.
Referral ID: MNHIC-9921
Patient Name: U Kyaw Zin
Address: 45/2 Inya Road, Lanmadaw Township
Yangon, Myanmar
| # | Description of Radiological Services | Quantity | Unit Price (MMK) | Total (MMK) |
|---|---|---|---|---|
| 1 |
Computed Tomography (CT) Scan - Abdomen & Pelvis Includes contrast media administration and detailed interpretation by senior Radiologist. Performed at Yangon Advanced Imaging Center. |
1 | 450,000 | 450,000 |
| 2 |
Magnetic Resonance Imaging (MRI) - Lumbar Spine High-resolution imaging without contrast. Includes comprehensive diagnostic report by Lead Radiologist. |
1 | 600,000 | 600,000 |
| 3 |
Ultrasound - Abdominal (Full) Real-time sonography performed by certified sonographer with final review by Radiologist. |
1 | 150,000 | 150,000 |
| 4 |
Consultation Fee - Senior Radiologist Specialist consultation regarding complex imaging findings in Yangon facility. |
1 | 100,000 | 100,000 |
| 5 |
Image Storage & Digital Report Delivery Secure cloud storage of DICOM images and PDF report generation. |
3 | 15,000 | 45,000 |
Terms and Conditions:
This invoice represents professional radiological services rendered in Yangon, Myanmar. Payment is due within 14 days of the invoice date. Please reference the Invoice Number (YGN-INV-2023-10-045) on all payments.
Bank Details for Transfer:
Bank: KBZ Bank
Account Name: Yangon Advanced Imaging Center Co., Ltd.
Account Number: 0123-4567-8901-2345
Branch: Yangon Central Branch
All diagnostic reports are the property of the Radiologist and the facility until full payment is received. Late payments may incur a 2% monthly interest charge.
Authorized By (Radiologist)
Dr. Thida Aung
Lead Radiologist
Received By (Finance)
__________________________
Date: ____________________
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