Invoice Radiologist in Zimbabwe Harare –Free Word Template Download with AI
Professional Radiologist Services
Plot 452, Samora Machel Avenue
Avondale, Harare, Zimbabwe
Tel: +263 242 700 123 | Email: [email protected]
Reg No: ZIM-RAD-2023-889
Invoice #: INV-ZW-2023-10-45
Date: October 24, 2023
Due Date: November 07, 2023
Reference: MRI-CT-SCAN-001
Bill To:
City of Harare Medical Aid Society
Attn: Claims Department
123 Robert Mugabe Road, Harare, Zimbabwe
Patient Name: John Doe (ID: 45-123456-7)
This invoice serves as an official request for payment for diagnostic imaging services rendered by our certified Radiologist team at the Harare Advanced Imaging & Radiology Centre. As a premier healthcare facility located in the heart of Zimbabwe Harare, we are committed to providing state-of-the-art diagnostic solutions. The following charges reflect the professional fees for interpretation, technical execution of scans, and administrative processing associated with the patient's visit on October 20, 2023.
Our Radiologist specialists utilize advanced technology to ensure accurate diagnosis, adhering to the highest standards of medical practice in Zimbabwe. This document outlines the specific procedures performed, including Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scans, which are critical for comprehensive patient care.
| # | Description of Radiology Services | Quantity | Unit Price (USD) | Total (USD) |
|---|---|---|---|---|
| 1 |
MRI Brain with Contrast Performed by Senior Radiologist. Includes intravenous contrast administration and detailed report generation. |
1 | $250.00 | $250.00 |
| 2 |
CT Scan Chest (High Resolution) Diagnostic imaging for pulmonary assessment. Includes image reconstruction and digital archiving. |
1 | $180.00 | $180.00 |
| 3 |
Radiologist Professional Interpretation Fee Comprehensive analysis of MRI and CT images by a specialist Radiologist registered with the Medical Council of Zimbabwe. |
2 | $75.00 | $150.00 |
| 4 |
Digital Imaging & CD Report Provision of DICOM images on CD and printed radiological report for patient records. |
1 | $25.00 | $25.00 |
| 5 |
Emergency After-Hours Surcharge Service rendered outside standard operating hours in Harare. |
1 | $50.00 | $50.00 |
| Subtotal: | $655.00 |
| VAT (14.5% - Zimbabwe Rate): | $94.98 |
| Discount (Insurance Partner): | -$50.00 |
| Grand Total Due: | $699.98 |
Payment Instructions & Terms
Currency: All amounts are quoted in United States Dollars (USD). Payment in Zimbabwe Gold (ZiG) is accepted at the prevailing Reserve Bank of Zimbabwe exchange rate on the date of payment.
Bank Transfer Details:
Bank: CBZ Bank Zimbabwe
Branch: Harare Head Office
Account Name: Harare Advanced Imaging & Radiology Centre
Account Number: 123-456789-0
Reference: INV-ZW-2023-10-45
Terms: Payment is due within 14 days of the invoice date. Late payments may incur a penalty of 2% per month. Please ensure your reference number is included to facilitate quick reconciliation by our finance team in Harare.
Medical Disclaimer: This invoice is for administrative purposes only. The medical opinions expressed in the accompanying radiological reports are the sole responsibility of the interpreting Radiologist.
Authorized By (Radiology Centre)
Dr. Sarah Moyo, Lead Radiologist
Signature: ____________________
Received By (Client)
Name: ____________________
Signature: ____________________
Date: ____________________
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