Invoice Radiologist in United Arab Emirates Abu Dhabi –Free Word Template Download with AI
Al Reem Island, Tower B, Level 3
Abu Dhabi, United Arab Emirates
P.O. Box: 12345
Phone: +971 2 123 4567
Email: [email protected]
TRN: 100123456700003
License No: DHA-RAD-2023-001
Invoice No: RAD-2024-00156
Date: October 15, 2024
Due Date: November 15, 2024
Bill To:
Abu Dhabi Health Services Company (SEHA)
Department of Radiology
Sheikh Khalifa Medical City
Abu Dhabi, United Arab Emirates
Contact Person: Dr. Ahmed Al Mansouri
Email: [email protected]
TRN: 100987654300003
Service Details:
This invoice is issued for professional radiological services rendered by certified Radiologists at Advanced Radiology Center Abu Dhabi. The services were provided in accordance with the healthcare regulations of the United Arab Emirates Abu Dhabi and meet the standards set by the Department of Health (DOH) Abu Dhabi. All imaging procedures were conducted using state-of-the-art equipment and interpreted by board-certified Radiologists specializing in diagnostic imaging.
| Description of Services | Quantity | Unit Price (AED) | Total (AED) |
|---|---|---|---|
|
CT Scan Interpretation - Abdomen & Pelvis Performed by Dr. Sarah Al Hashimi, Consultant Radiologist Report includes detailed analysis and recommendations |
15 | 450.00 | 6,750.00 |
|
MRI Brain with Contrast Performed by Dr. James Wilson, Senior Radiologist Includes neurovascular assessment |
10 | 650.00 | 6,500.00 |
|
X-Ray Chest (PA & Lateral) Performed by Dr. Fatima Al Zaabi, Radiologist Standard diagnostic imaging |
50 | 120.00 | 6,000.00 |
|
Ultrasound Abdomen Performed by Dr. Michael Chen, Radiologist Comprehensive abdominal organ assessment |
20 | 350.00 | 7,000.00 |
|
Mammography Screening Performed by Dr. Aisha Al Ketbi, Breast Imaging Specialist BI-RADS assessment included |
25 | 400.00 | 10,000.00 |
|
Interventional Radiology Procedure Performed by Dr. Robert Taylor, Interventional Radiologist Image-guided biopsy procedure |
5 | 2,500.00 | 12,500.00 |
|
Pediatric Radiology Consultation Performed by Dr. Layla Al Nuaimi, Pediatric Radiologist Specialized imaging for pediatric patients |
8 | 500.00 | 4,000.00 |
| Subtotal: | 52,750.00 | ||
| VAT (5%): | 2,637.50 | ||
| Total Amount Due: | 55,387.50 | ||
Terms and Conditions:
1. Payment is due within 30 days from the invoice date.
2. All services were provided by licensed Radiologists registered with the Department of Health (DOH) Abu Dhabi.
3. This invoice is compliant with the Federal Tax Authority (FTA) regulations of the United Arab Emirates Abu Dhabi.
4. Late payments will incur a penalty of 2% per month on the outstanding amount.
5. All radiological reports are confidential and protected under UAE healthcare privacy laws.
6. For any queries regarding this invoice, please contact our billing department at [email protected].
7. Payment should be made via bank transfer to the account details provided below.
8. This invoice serves as an official document for tax and accounting purposes in the United Arab Emirates Abu Dhabi.
Bank Details:
Bank Name: Emirates NBD
Account Name: Advanced Radiology Center Abu Dhabi LLC
Account Number: 1001234567890
IBAN: AE070331234567890123456
SWIFT Code: EBILAEAD
Authorized Signature:
Dr. Khalid Al Maktoum
Medical Director
Advanced Radiology Center Abu Dhabi
Received By:
_________________________
Name:
Date:
This Invoice document has been generated in accordance with the healthcare and tax regulations of the United Arab Emirates Abu Dhabi. All Radiologists providing services are certified and registered with the relevant authorities. Advanced Radiology Center Abu Dhabi is committed to providing high-quality diagnostic imaging services that meet international standards while adhering to local regulations.
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