Invoice Surgeon in Thailand Bangkok –Free Word Template Download with AI
123 Sukhumvit Road, Khlong Toei Nuea, Watthana
Bangkok 10110, Thailand
Tel: +66 2 123 4567 | Email: [email protected]
VAT Registration No.: 0105551234567
Invoice No.: BIS-2023-09876
Date: October 15, 2023
Due Date: November 15, 2023
Billed To:
Mr. John Doe
456 Overseas Street
New York, NY 10001, USA
Email: [email protected]
Phone: +1 212 555 7890
Surgeon Services Rendered
| Description | Quantity | Unit Price (THB) | Total (THB) |
|---|---|---|---|
| Consultation with Chief Surgeon - Dr. Somchai Boonmee | 1 | 5,000.00 | 5,000.00 |
| Pre-operative Assessment and Diagnostic Tests | 1 | 10,000.00 | 10,000.00 |
| Laparoscopic Cholecystectomy Procedure | 1 | 150,000.00 | 150,000.00 |
| Anesthesia Services | 1 | 25,000.00 | 25,000.00 |
| Operating Room Fees | 1 | 30,000.00 | 30,000.00 |
| Post-operative Care and Monitoring (3 Days) | 3 | 15,000.00 | 45,000.00 |
| Pharmaceuticals and Medical Supplies | 1 | 8,000.00 | 8,000.00 |
| Follow-up Consultation with Surgeon | 1 | 3,000.00 | 3,000.00 |
Subtotal: 276,000.00 THB
VAT (7%): 19,320.00 THB
Total Amount Due: 295,320.00 THB
Payment Instructions and Notes
Please make payment within 30 days of the invoice date. Payments can be made via bank transfer to the following account:
Bank Name: Bangkok Bank
Account Name: Bangkok International Surgical Center Co., Ltd.
Account Number: 123-4-56789-0
SWIFT Code: BKKBTHBK
Please include the invoice number (BIS-2023-09876) as the reference for your payment.
This invoice is issued in accordance with the tax regulations of Thailand. The services provided by our surgeon team are covered under the medical standards set by the Thai Medical Council.
For any questions regarding this invoice or the services provided, please contact our billing department at [email protected] or call +66 2 123 4567.
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