Invoice Radiologist in Qatar Doha –Free Word Template Download with AI
Al Waab Street, Zone 66, Doha, Qatar
P.O. Box: 23456
Phone: +974 4455 6677
Email: [email protected]
Commercial Registration: CR-12345678
Invoice Number: INV-2023-0892
Date Issued: October 15, 2023
Due Date: November 15, 2023
Payment Terms: Net 30 Days
Bill To:
Hamad Medical Corporation
Department of Diagnostic Imaging
Al Jasra, Doha, Qatar
Attn: Procurement Department
Reference: Contract #HMC-RAD-2023-45
Service Provider Details:
Dr. Ahmed Al-Mansoori, MD, FRCR
Board-Certified Radiologist
Qatar Council for Healthcare Practitioners License: QCHP-78901
Specialization: Neuroradiology and Musculoskeletal Imaging
| Description of Services | Quantity | Unit Price (QAR) | Total (QAR) | Notes |
|---|---|---|---|---|
| Consultation and interpretation of MRI Brain with contrast for patient ID #HMC-45678 | 1 | 450.00 | 450.00 | Urgent case |
| Consultation and interpretation of CT Chest with contrast for patient ID #HMC-45679 | 1 | 380.00 | 380.00 | Standard turnaround |
| Consultation and interpretation of X-Ray Lumbar Spine for patient ID #HMC-45680 | 1 | 150.00 | 150.00 | Follow-up examination |
| Consultation and interpretation of Ultrasound Abdomen for patient ID #HMC-45681 | 1 | 250.00 | 250.00 | Standard procedure |
| Consultation and interpretation of MRA Head and Neck for patient ID #HMC-45682 | 1 | 500.00 | 500.00 | Complex case |
| Consultation and interpretation of CT Abdomen and Pelvis with contrast for patient ID #HMC-45683 | 1 | 400.00 | 400.00 | Standard turnaround |
| Consultation and interpretation of MRI Knee for patient ID #HMC-45684 | 1 | 420.00 | 420.00 | Sports injury case |
| Consultation and interpretation of X-Ray Chest for patient ID #HMC-45685 | 1 | 120.00 | 120.00 | Routine examination |
| Consultation and interpretation of Ultrasound Thyroid for patient ID #HMC-45686 | 1 | 200.00 | 200.00 | Standard procedure |
| Consultation and interpretation of CT Head without contrast for patient ID #HMC-45687 | 1 | 350.00 | 350.00 | Emergency case |
| Subtotal: | QAR 3,220.00 |
| VAT (0%): | QAR 0.00 |
| Total Amount Due: | QAR 3,220.00 |
Terms and Conditions:
1. Payment is due within 30 days of the invoice date. Late payments may incur a penalty of 2% per month.
2. All services provided by the Radiologist are in accordance with the standards set by the Qatar Council for Healthcare Practitioners (QCHP).
3. This invoice is issued in compliance with the tax regulations of Qatar. VAT is not applicable as per current exemptions for healthcare services.
4. Any disputes regarding this invoice must be raised within 14 days of receipt.
5. Payment should be made via bank transfer to the following account:
Bank Name: Qatar National Bank
Account Name: Qatar Advanced Radiology Center
IBAN: QA3500000000000000000000
SWIFT Code: QNBQQA
6. This invoice is valid for services rendered in Doha, Qatar, and is subject to the laws and regulations of the State of Qatar.
Authorized Signature
Dr. Ahmed Al-Mansoori
Radiologist
Received By
Hamad Medical Corporation
Date: _______________
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