Invoice Surgeon in Singapore Singapore –Free Word Template Download with AI
1 Raffles Place, #15-01, Singapore 048616
Phone: +65 6789 1234 | Email: [email protected]
UEN: 202312345K | Medical Council of Singapore Reg: S12345
Invoice Number: INV-SG-2023-8901
Date of Issue: 24 October 2023
Due Date: 24 November 2023
Payment Terms: Net 30 Days
Bill To (Insurer / Patient)Guardian Life Assurance Ltd
Claims Department
10 Anson Road, #28-01 International Plaza
Singapore 079903
Policy Number: GLA-99887766
Name: Mr. Jonathan Tan Wei Ming
NRIC: S8901234A
Date of Birth: 15 March 1978
Procedure Date: 10 October 2023
| Item | Description of Service | Date | Unit Price (SGD) | Total (SGD) |
|---|---|---|---|---|
| 1 |
Pre-Operative Consultation & Assessment Comprehensive evaluation by Consultant Surgeon including review of MRI imaging, physical examination, and surgical planning for elective procedure. Includes discussion of risks, benefits, and alternatives in accordance with Singapore Medical Council guidelines. |
01 Oct 2023 | 450.00 | 450.00 |
| 2 |
Consultant Surgeon Fee - Laparoscopic Cholecystectomy Professional fee for the performance of a laparoscopic cholecystectomy (removal of gallbladder). This fee covers the surgeon's expertise, time in the operating theatre, and technical execution of the procedure at the Singapore General Hospital. |
10 Oct 2023 | 3,200.00 | 3,200.00 |
| 3 |
Assistant Surgeon Fee Fee for the registered surgical assistant providing support during the operative procedure to ensure patient safety and procedural efficiency. |
10 Oct 2023 | 800.00 | 800.00 |
| 4 |
Post-Operative Ward Rounds (Days 1-3) Daily monitoring of patient recovery, wound inspection, management of pain, and assessment of vital signs by the attending Surgeon. Includes adjustments to medication and care plans as necessary. |
11-13 Oct 2023 | 300.00 | 900.00 |
| 5 |
Post-Operative Follow-Up Consultation Review appointment conducted two weeks post-surgery to assess healing progress, remove sutures/staples if necessary, and provide discharge clearance. |
24 Oct 2023 | 350.00 | 350.00 |
| 6 |
Medical Report for Insurance Claims Preparation and issuance of detailed medical report summarizing the diagnosis, surgical procedure performed, and prognosis for insurance submission purposes. |
20 Oct 2023 | 150.00 | 150.00 |
Please remit payment via bank transfer to the following account:
Bank Name: DBS Bank Ltd
Account Name: Apex Surgical Specialists Pte Ltd
Account Number: 001-234567-8
SWIFT Code: DBSSSGSG
Reference: INV-SG-2023-8901
Cheques should be made payable to "Apex Surgical Specialists Pte Ltd" and mailed to the address listed in the header.
Terms and Conditions
1. This invoice represents the professional fees charged by the Surgeon for services rendered. Hospital facility fees, anaesthetist fees, and medication costs are billed separately by the respective providers.
2. Payment is due within 30 days of the invoice date. Late payments may incur interest charges at the rate of 1.5% per month.
3. All services were performed in accordance with the standards set by the Singapore Medical Council and relevant regulatory bodies in Singapore.
4. Please quote the Invoice Number and Patient Name on all correspondence and payments.
5. If you have any queries regarding this invoice, please contact our billing department at +65 6789 1234 or email [email protected].
6. This document serves as a valid tax invoice for Goods and Services Tax (GST) purposes in Singapore.
Dr. Alan Lim (Consultant Surgeon)
Apex Surgical Specialists Received By (Optional)
__________________________
Date: ____________________ ⬇️ Download as DOCX Edit online as DOCX
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