Invoice Radiologist in United Arab Emirates Dubai –Free Word Template Download with AI
License No: DHA-EST-2023-8891
TRN (Tax Registration Number): 100234567800003
Building 4, Healthcare City, Plot H-12
Dubai, United Arab Emirates
Email: [email protected] | Phone: +971 4 123 4567
Date: October 24, 2023
Due Date: November 24, 2023
VAT COMPLIANT: This invoice is issued in accordance with the Federal Decree-Law No. (8) of 2017 on Value Added Tax in the United Arab Emirates.Bill To:
Dr. Sarah Al-Mansoori
Consultant Radiologist
Al Zahra Medical Complex
Sheikh Zayed Road, Dubai, United Arab Emirates
Emirates ID: 784-19-8823456-1
TRN: 100987654300009
| # | Description of Radiological Services | Quantity / Hours | Unit Price (AED) | Total (AED) |
|---|---|---|---|---|
| 1 |
Specialist MRI Interpretation Services Comprehensive analysis of 35 MRI scans (Brain, Spine, and Abdomen). Includes detailed diagnostic reporting and consultation with referring physicians in Dubai. |
35 | 350.00 | 12,250.00 |
| 2 |
CT Scan Reporting & Consultation Interpretation of 50 CT scans including contrast studies. Adherence to Dubai Health Authority (DHA) reporting standards. |
50 | 250.00 | 12,500.00 |
| 3 |
Urgent Radiology On-Call Duty Emergency coverage for trauma cases and critical care imaging interpretation during night shifts and weekends. |
24 Hrs | 400.00 | 9,600.00 |
| 4 |
Mammography Screening Analysis Specialized breast imaging interpretation for 20 patients, including BI-RADS assessment and follow-up recommendations. |
20 | 300.00 | 6,000.00 |
| 5 |
Interventional Radiology Procedure Support Technical supervision and procedural guidance for biopsy and drainage procedures. |
5 | 1,500.00 | 7,500.00 |
Payment Instructions:
Please remit payment within 30 days of the invoice date. Late payments may incur interest charges as per UAE commercial law.
Bank Name: Emirates NBD
Account Name: Advanced Imaging Radiology Center LLC
IBAN: AE07 0331 2345 6789 0123 456
SWIFT Code: EBILAEAD
Reference: INV-2023-10-045
Terms and Conditions:
- All services provided by the Radiologist are subject to the professional standards set by the Dubai Health Authority (DHA).
- This invoice is valid for tax purposes in the United Arab Emirates. The Tax Registration Number (TRN) must be quoted for any refunds or claims.
- Disputes regarding the accuracy of diagnostic reports must be raised within 7 days of receipt.
- Payment is non-refundable once the radiological interpretation has been delivered to the referring physician.
- Any changes to the scope of work must be agreed upon in writing prior to execution.
Authorized Signature
Dr. Ahmed Hassan
Chief Radiologist
Received By
Finance Department
Al Zahra Medical Complex
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