Invoice Surgeon in Japan Osaka –Free Word Template Download with AI
1-2-3 Umeda, Kita-ku, Osaka, 530-0001, Japan
Phone: +81-6-1234-5678 | Email: [email protected]
Corporate Number: 1234567890123
Invoice Number: INV-2023-OSK-8942
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Service Location: Japan Osaka
Bill To:
Patient Name: Mr. John Doe
456 International Drive
Minato-ku, Tokyo, 105-0011, Japan
National Health Insurance ID: 123-45-6789
Attending Surgeon:
Dr. Kenji Tanaka, MD, PhD
Department of General Surgery
License No: Osaka-Med-998877
Specialization: Minimally Invasive Surgery
| # | Description of Surgical Services | Date of Service | Unit Price (JPY) | Total Amount (JPY) |
|---|---|---|---|---|
| 1 |
Pre-operative Surgical Consultation & Assessment Comprehensive evaluation by the lead Surgeon in Japan Osaka to determine surgical necessity, review medical history, and outline the procedure plan. Includes diagnostic imaging review. |
Oct 10, 2023 | ¥ 35,000 | ¥ 35,000 |
| 2 |
Laparoscopic Cholecystectomy Procedure Surgical removal of the gallbladder performed by Dr. Tanaka. This fee covers the Surgeon's technical skill, time, and expertise during the operation at the Osaka Advanced Surgical Center. |
Oct 15, 2023 | ¥ 450,000 | ¥ 450,000 |
| 3 |
Anesthesia Services Administration of general anesthesia by a certified anesthesiologist during the surgical procedure. Includes pre-anesthesia evaluation and post-anesthesia monitoring. |
Oct 15, 2023 | ¥ 85,000 | ¥ 85,000 |
| 4 |
Operating Room Facility Fees Usage of the sterile operating theater, surgical instruments, and nursing staff support within the Japan Osaka facility for the duration of the surgery. |
Oct 15, 2023 | ¥ 120,000 | ¥ 120,000 |
| 5 |
Post-Operative Surgeon Follow-up Immediate post-surgical care, wound inspection, and recovery assessment by the attending Surgeon. Includes two follow-up visits within 14 days. |
Oct 18, 2023 | ¥ 25,000 | ¥ 50,000 |
| 6 |
Pathology Analysis Laboratory examination of tissue samples removed during the surgery to confirm diagnosis and ensure complete removal of affected tissue. |
Oct 16, 2023 | ¥ 40,000 | ¥ 40,000 |
| 7 |
Medical Documentation & Translation Preparation of detailed surgical reports and translation of medical records into English for international patient compliance. |
Oct 20, 2023 | ¥ 15,000 | ¥ 15,000 |
Payment Terms & Important Notes:
This Invoice represents the professional fees for surgical services rendered by the Surgeon at the Osaka Advanced Surgical Center in Japan Osaka. Payment is due within 30 days of the invoice date. Late payments may incur a 1.5% monthly interest charge.
Bank Transfer Details:
Bank Name: MUFG Bank, Ltd.
Branch: Umeda Branch
Account Type: Ordinary Account
Account Number: 1234567
Account Name: Osaka Advanced Surgical Center Co., Ltd.
Please reference the Invoice Number (INV-2023-OSK-8942) when making your payment. For any questions regarding this Invoice or the surgical procedure, please contact our billing department directly.
Authorized Signature:
Dr. Kenji Tanaka
Lead Surgeon
Received By:
__________________________
Date: ____________________
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