Invoice Surgeon in Turkey Istanbul –Free Word Template Download with AI
Address: Levent Mahallesi, Büyükdere Caddesi No: 185, Şişli
City: 34394 Istanbul, Turkey
Tax ID (VKN): 123 456 78 90
Phone: +90 212 555 0199
Email: [email protected]
Invoice Number: INV-TR-2023-8942
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Currency: Turkish Lira (TRY)
Bill To (Patient)Name: Mr. Alexander Smith
Address: 123 Medical Way, Suite 400
City: London, EC1A 1BB
Country: United Kingdom
Patient ID: PAT-UK-9921
Pay To (Surgeon / Provider)Attending Surgeon: Prof. Dr. Mehmet Yilmaz
Specialty: Orthopedic & Traumatology
License No: TR-SURG-445566
Bank: Garanti BBVA
IBAN: TR33 0006 2000 1234 5678 9012 34
SWIFT: TGBATRIS
Description of Medical Services Rendered in Istanbul, TurkeyThe following invoice details the professional fees and associated costs for surgical procedures performed by the attending Surgeon at our facility in Istanbul, Turkey. This document serves as the official financial record for the medical tourism package and clinical interventions provided.
| Item | Description of Service | Date | Quantity | Amount (TRY) |
|---|---|---|---|---|
| 1 | Consultation & Pre-Operative Assessment: Comprehensive evaluation by the Surgeon in Istanbul, Turkey. Includes MRI analysis, blood work coordination, and surgical planning session. | Oct 20, 2023 | 1 | 2,500.00 |
| 2 | Primary Surgical Procedure (Arthroscopic Knee Repair): Professional fee for the Surgeon. Includes the technical execution of the surgery, anesthesia coordination, and use of the operating theater at the Istanbul facility. | Oct 21, 2023 | 1 | 45,000.00 |
| 3 | Medical Implants & Consumables: High-grade surgical implants and sterile materials used during the procedure. Sourced from certified suppliers within Turkey. | Oct 21, 2023 | 1 | 12,000.00 |
| 4 | Post-Operative Hospital Stay: 3 nights in a private recovery room in Istanbul, Turkey. Includes nursing care, medication administration, and daily vitals monitoring. | Oct 21-24, 2023 | 3 | 9,000.00 |
| 5 | Surgeon Follow-Up & Wound Care: Post-surgery check-up by the Surgeon to ensure proper healing and removal of sutures. | Oct 24, 2023 | 1 | 1,500.00 |
| 6 | Medical Translation & Coordination: Services provided to facilitate communication between the international patient and the Surgeon in Istanbul, Turkey. | Oct 20-24, 2023 | 1 | 1,000.00 |
- Payment Terms: Payment is due within 30 days of the invoice date. Late payments may incur a penalty fee of 2% per month.
- Currency: All amounts are listed in Turkish Lira (TRY). If paying in foreign currency (USD/EUR), the exchange rate will be determined on the day of transaction receipt.
- Medical Disclaimer: This invoice covers the financial aspects of the treatment provided by the Surgeon in Istanbul, Turkey. It does not constitute a guarantee of medical outcomes. All surgical procedures carry inherent risks.
- Validity: This invoice is valid for tax purposes in Turkey and can be used for insurance reimbursement claims in the patient's home country.
- Contact: For any discrepancies regarding the Surgeon's fees or hospital charges in Istanbul, please contact our billing department immediately.
Authorized by:
Prof. Dr. Mehmet Yilmaz
Lead Surgeon
Istanbul Premier Surgical Center
Received by:
__________________________
Date: ____________________
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