Invoice Surgeon in Nigeria Abuja –Free Word Template Download with AI

Patient Name: Mrs. Amina Yusuf

Insurance Provider: Leadway Assurance Plc

Policy Number: LW-99887766

Address: 45 Gana Street, Wuse II, Abuja, Nigeria

Hospital: Abuja Specialist Hospital

Department: General Surgery & Trauma

Room: Operating Theatre 3

Date of Service: October 20, 2023

#	Description of Surgical Services	Code	Quantity	Amount (NGN)
1	Pre-Operative Surgical Consultation: Comprehensive evaluation by the Lead Surgeon in Abuja. Includes review of medical history, physical examination, and surgical planning for the procedure.	SURG-001	1	₦ 45,000.00
2	Primary Surgical Procedure (Laparoscopic Cholecystectomy): Fee for the Surgeon's professional time, skill, and expertise during the operation. Performed at Abuja Specialist Hospital. Includes intraoperative decision-making and management.	SURG-405	1	₦ 850,000.00
3	Assistant Surgeon Fee: Professional fee for the assisting surgeon required to facilitate the procedure safely within the operating theater environment.	SURG-406	1	₦ 150,000.00
4	Post-Operative Immediate Care: Surgeon's presence and management in the recovery room immediately following the surgery to ensure patient stability before transfer to the ward.	SURG-009	1	₦ 35,000.00
5	Post-Operative Follow-Up Visits: Includes three scheduled follow-up appointments with the Surgeon in Abuja to monitor wound healing, remove sutures/staples, and review pathology results.	SURG-012	3	₦ 60,000.00
6	Emergency On-Call Surgeon Fee: Retainer fee for the surgeon's availability for emergency consultation regarding this specific case during the immediate post-operative period (48 hours).	SURG-999	1	₦ 50,000.00

Subtotal: ₦ 1,190,000.00 VAT (7.5% - FCT Rate): ₦ 89,250.00 Insurance Adjustment: - ₦ 100,000.00 TOTAL DUE: ₦ 1,179,250.00

Please make payment within 14 days of the invoice date. Payments can be made via bank transfer to the following account details:

Note: Please include the Invoice Number (INV-2023-ABJ-8942) in the payment remarks for proper reconciliation.

This invoice represents the professional fees for the Surgeon's services rendered in Abuja, Nigeria. It does not include hospital facility fees, anesthesia fees, or medication costs, which are billed separately.
Payment is due within 14 days. Late payments may incur a penalty interest of 2% per month.
Disputes regarding this invoice must be raised in writing within 7 days of receipt.
All medical records and surgical reports are the property of Abuja Capital Surgical Specialists and are subject to the Nigerian Health Professions Council regulations.

Authorized By:

Dr. Emeka Okonkwo

Lead Surgeon

Received By:

__________________________

Date: ____________________

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