Invoice Radiologist in Nigeria Lagos –Free Word Template Download with AI
15 Admiralty Way, Lekki Phase 1, Lagos, Nigeria
Phone: +234 803 456 7890 | Email: [email protected]
Tax Identification Number (TIN): 12345678-0001
Invoice Number: INV-2024-0542
Date of Issue: 15th May 2024
Due Date: 30th May 2024
Payment Terms: Net 15 Days
Client Name: Dr. Adebayo Okonkwo
Facility: Victoria Island General Hospital
Address: 42 Adeola Odeku Street, Victoria Island, Lagos, Nigeria
Contact: +234 802 123 4567
Email: [email protected]
Radiologist Name: Dr. Funke Adeyemi
Specialization: Diagnostic Radiology & Interventional Radiology
Medical and Dental Council of Nigeria (MDCN) Registration: MDCN/REG/2015/12345
Address: Lagos Advanced Radiology Centre, Lekki Phase 1, Lagos, Nigeria
This Invoice details the professional radiological services provided by Dr. Funke Adeyemi, a certified Radiologist practicing in Lagos, Nigeria. The services were rendered in accordance with the standards set by the Nigerian Medical Association and the Radiological Society of Nigeria. All imaging interpretations, reports, and consultations were conducted using state-of-the-art equipment located at our Lagos facility, ensuring high diagnostic accuracy for patient care.
Itemized Services| Item # | Description of Radiological Service | Quantity | Unit Price (NGN) | Total (NGN) |
|---|---|---|---|---|
| 1 | CT Scan Interpretation (Abdomen & Pelvis) - Detailed Radiologist Report | 5 | 15,000 | 75,000 |
| 2 | MRI Brain Scan Interpretation - Comprehensive Neurological Assessment | 3 | 25,000 | 75,000 |
| 3 | X-Ray Interpretation (Chest & Skeletal) - Standard Reporting | 20 | 3,000 | 60,000 |
| 4 | Ultrasound Abdominal Scan Interpretation - Obstetric & General | 10 | 8,000 | 80,000 |
| 5 | Interventional Radiology Procedure Consultation (Lagos Facility) | 2 | 50,000 | 100,000 |
| 6 | Second Opinion Radiological Review - Complex Cases | 4 | 12,000 | 48,000 |
| 7 | Emergency Radiology On-Call Service (Weekend Coverage in Lagos) | 1 | 35,000 | 35,000 |
| 8 | Pediatric Radiology Interpretation (Specialized Reporting) | 6 | 10,000 | 60,000 |
| Subtotal | 533,000 | |||
| VAT (7.5% - Nigeria Federal Rate) | 39,975 | |||
| Total Amount Due | 572,975 | |||
All payments for this Invoice must be made in Nigerian Naira (NGN). Please use the following bank details for transfer:
Bank Name: Zenith Bank Plc
Account Name: Lagos Advanced Radiology Centre Ltd
Account Number: 1012345678
Branch: Lekki Branch, Lagos, Nigeria
Please include the Invoice Number (INV-2024-0542) as the payment reference to ensure proper allocation of funds.
Terms and Conditions- This Invoice is issued by a licensed Radiologist operating within Lagos, Nigeria, in compliance with local healthcare regulations.
- Payment is due within 15 days of the Invoice date. Late payments may incur a penalty of 2% per month.
- All radiological reports and interpretations are confidential and intended solely for the use of the requesting healthcare provider or patient.
- Services are rendered based on the medical necessity and referral provided by the attending physician.
- Any disputes regarding this Invoice must be raised within 7 days of receipt, in writing, to the billing department.
- This Invoice is subject to the laws of the Federal Republic of Nigeria.
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