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Invoice Radiologist in Pakistan Karachi –Free Word Template Download with AI

Specialized Radiology Services

Plot #45-B, Block 7, Clifton

Shahrah-e-Faisal, Karachi, Sindh

Pakistan

Phone: +92-21-3587-XXXX

Email: [email protected]

NTN: 1234567-8 | STN: Sindh-9876543

Invoice #: INV-2023-10-089

Date: October 24, 2023

Due Date: November 07, 2023

Reference: Ref-KHI-RAD-442

Bill To:

Dr. Ahmed Khan (Consultant Radiologist)

Private Practice Suite 204

Docters Plaza, I.I. Chundrigar Road

Karachi, Sindh, Pakistan

Phone: +92-300-1234567

Service Location:

Apex Diagnostic Center

Clifton Branch

Karachi, Pakistan

# Description of Radiological Services Quantity Unit Price (PKR) Total (PKR)
1 Consultation Fee - Senior Radiologist
Professional interpretation and reporting of diagnostic imaging studies performed at the Clifton facility in Karachi. Includes detailed analysis of MRI and CT scans.
1 15,000.00 15,000.00
2 MRI Brain with Contrast
High-resolution Magnetic Resonance Imaging of the brain using Gadolinium contrast agent. Performed on 1.5 Tesla machine. Includes radiologist's diagnostic report.
1 25,000.00 25,000.00
3 CT Scan Chest (Triple Rule Out)
Computed Tomography Angiography of the chest to evaluate pulmonary embolism, aortic dissection, and coronary artery disease. Includes contrast media and interpretation.
1 30,000.00 30,000.00
4 Ultrasound Abdomen (Complete)
Diagnostic ultrasound of the liver, gallbladder, pancreas, spleen, kidneys, and urinary bladder. Performed by certified sonographer with radiologist review.
1 8,500.00 8,500.00
5 X-Ray Chest (PA & Lateral)
Standard radiographic examination of the chest. Digital imaging with immediate preliminary reading by on-duty radiologist.
1 2,500.00 2,500.00
6 Mammography (Bilateral Digital)
Screening mammogram with digital tomosynthesis (3D mammography). Includes BI-RADS assessment by breast imaging specialist radiologist.
1 12,000.00 12,000.00
7 Interventional Radiology Procedure
Ultrasound-guided fine needle aspiration cytology (FNAC) of thyroid nodule. Includes local anesthesia, procedure fee, and radiologist's supervision.
1 18,000.00 18,000.00
8 Contrast Media & Consumables
Intravenous contrast agents (Gadolinium & Iodine-based), IV cannulas, syringes, and other disposable medical supplies used during imaging procedures.
1 5,000.00 5,000.00
9 Urgent Report Fee
Expedited processing and delivery of radiological reports within 2 hours of procedure completion. Applicable for emergency cases referred from Karachi hospitals.
2 3,000.00 6,000.00
10 Digital Image Storage & CD
Provision of DICOM images on CD-ROM for patient records and second opinions. Includes secure cloud storage access for 12 months.
5 500.00 2,500.00
Subtotal: PKR 124,500.00
Discount (5% for bulk referral): - PKR 6,225.00
Adjusted Subtotal: PKR 118,275.00
Sales Tax (17% - Sindh Government): PKR 20,106.75
Grand Total: PKR 138,381.75

Terms and Conditions:

1. Payment is due within 14 days of the invoice date. Late payments may incur a penalty of 2% per month.

2. All radiological services are performed by certified radiologists registered with the Pakistan Medical Commission (PMC).

3. This invoice is valid for services rendered at our Karachi, Pakistan facility. Reports are confidential and intended only for the referring physician and patient.

4. Please quote the Invoice Number (INV-2023-10-089) on all payments.

5. Bank Transfer Details: Meezan Bank, Branch: Clifton, Karachi. Account Title: Apex Diagnostic & Imaging Center. Account No: 0123456789012. IBAN: PK36MEZN0000001234567890.

6. For any discrepancies or queries regarding this invoice, please contact our billing department at [email protected] or call +92-21-3587-XXXX.

7. All prices are in Pakistani Rupees (PKR) and are inclusive of applicable taxes as per the Federal Board of Revenue (FBR) regulations.

8. This document serves as an official record of radiological services provided and may be used for insurance claims and medical records.

Thank you for choosing Apex Diagnostic & Imaging Center for your radiology needs in Karachi, Pakistan.

Authorized Signature: _________________________

Dr. Sarah Ali, Chief Radiologist & Medical Director

PMC Registration No: 1234567

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