Invoice Radiologist in Sudan Khartoum –Free Word Template Download with AI
Advanced Diagnostic Imaging Services
Al-Amarat District, Khartoum, Sudan
P.O. Box 12345, Khartoum North
Phone: +249 183 123 456
Email: [email protected]
TIN: 100234567890
Invoice Number: INV-2024-0892
Date Issued: October 24, 2024
Due Date: November 24, 2024
Payment Terms: Net 30 Days
Bill To:
Al-Razi General Hospital
Department of Medical Services
Atbara Street, Khartoum, Sudan
Attn: Dr. Ahmed Hassan, Chief Administrator
Phone: +249 183 987 654
Service Location:
Nile Valley Radiology Center
Al-Amarat District
Khartoum, Sudan
Referring Physician: Dr. Fatima Ibrahim
Patient ID: P-2024-5678
This Invoice is issued for professional radiological services rendered by our certified Radiologist team at our facility in Sudan Khartoum. The services detailed below were performed in accordance with international medical imaging standards and local healthcare regulations governing diagnostic procedures in the Republic of Sudan.
| # | Description of Radiological Services | Quantity | Unit Price (SDG) | Total (SDG) |
|---|---|---|---|---|
| 1 |
Computed Tomography (CT) Scan - Abdomen & Pelvis Performed by Senior Radiologist. Includes contrast media administration, image acquisition, and detailed diagnostic report interpretation. |
1 | 45,000.00 | 45,000.00 |
| 2 |
Magnetic Resonance Imaging (MRI) - Brain High-resolution neuro-imaging conducted by specialist Radiologist. Includes multi-planar reconstruction and comprehensive neurological assessment report. |
1 | 65,000.00 | 65,000.00 |
| 3 |
Digital X-Ray - Chest (PA & Lateral) Standard thoracic imaging. Includes immediate preliminary reading by on-call Radiologist and formal written report within 24 hours. |
2 | 8,500.00 | 17,000.00 |
| 4 |
Ultrasound - Abdominal & Renal Real-time sonographic evaluation performed by qualified Radiologist. Includes Doppler flow assessment and organ measurement analysis. |
1 | 22,000.00 | 22,000.00 |
| 5 |
Specialist Radiologist Consultation Fee Professional fee for senior Radiologist review of complex cases, multidisciplinary team meeting participation, and second opinion documentation. |
3 | 12,000.00 | 36,000.00 |
| 6 |
Contrast Media & Consumables Iodinated contrast agents, IV supplies, and sterile materials used during imaging procedures under Radiologist supervision. |
1 | 15,000.00 | 15,000.00 |
| 7 |
Emergency After-Hours Radiology Service Urgent imaging and interpretation services provided by on-call Radiologist outside standard operating hours at our Khartoum facility. |
1 | 25,000.00 | 25,000.00 |
| Subtotal: | 225,000.00 SDG |
| Value Added Tax (VAT) 10%: | 22,500.00 SDG |
| Service Charge: | 0.00 SDG |
| TOTAL AMOUNT DUE: | 247,500.00 SDG |
Payment Instructions:
Please remit payment in Sudanese Pounds (SDG) to the following bank account within 30 days of the Invoice date:
Bank Name: Bank of Khartoum
Branch: Al-Amarat Branch, Khartoum, Sudan
Account Name: Nile Valley Radiology Center
Account Number: 1001234567890
SWIFT Code: BKHSKHKT
For mobile payments via Fawry or local Sudanese banking apps, please reference Invoice Number INV-2024-0892.
Terms and Conditions:
1. All radiological services are performed by licensed Radiologist professionals registered with the Sudanese Medical Council and operating under the regulations of the Ministry of Health, Republic of Sudan.
2. This Invoice covers diagnostic imaging services rendered at our primary facility located in Al-Amarat, Sudan Khartoum. Mobile radiology services, if applicable, are billed separately.
3. The Radiologist interpretation reports are confidential medical documents intended solely for the referring physician and authorized healthcare providers. Unauthorized distribution is prohibited under Sudanese medical privacy laws.
4. Payment is due within 30 days from the Invoice date. Late payments may incur a penalty of 2% per month on the outstanding balance, in accordance with commercial practices in Sudan Khartoum.
5. Any disputes regarding the accuracy of this Invoice or the quality of radiological services must be raised in writing within 14 days of receipt. Our Radiologist department will review all concerns promptly.
6. Prices quoted are in Sudanese Pounds (SDG) and are subject to change based on fluctuations in medical supply costs and regulatory adjustments by the Sudanese government.
7. This Invoice serves as an official financial record for tax purposes and insurance claims processing within the Sudanese healthcare system.
Additional Notes:
Thank you for choosing Nile Valley Radiology Center for your diagnostic imaging needs in Sudan Khartoum. Our team of experienced Radiologist specialists is committed to providing accurate, timely, and compassionate care to all patients. We appreciate your continued partnership and trust in our medical services.
For any questions regarding this Invoice, please contact our billing department at +249 183 123 456 or email [email protected]. Our office is located in Al-Amarat, Sudan Khartoum, and we are available Monday through Friday, 8:00 AM to 5:00 PM local time.
Authorized Signature
Dr. Mohamed Ali
Chief Radiologist
Nile Valley Radiology Center
Received By
_________________________
Name & Title
Date
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