Invoice Surgeon in United Kingdom Manchester –Free Word Template Download with AI
Consultant Surgeon: Dr. Alistair Sterling, FRCS (Ed)
Private Practice Suite 4B
St. Mary's Hospital Complex
Oxford Road, Manchester, M13 9WL
United Kingdom
Tel: +44 (0)161 555 0199
Email: [email protected]
GMC Number: 12345678
Invoice Number: INV-2023-MS-8842
Date of Issue: 24th October 2023
Due Date: 24th November 2023
Reference: Patient ID #99281-AS
BILL TO:
Mr. Jonathan P. Reynolds
14 Wilmslow Road
Chorlton-cum-Hardy
Manchester, M21 9EY
United Kingdom
INSURANCE / PAYMENT DETAILS:
BUPA Private Healthcare
Policy Number: BUPA-UK-99281-XY
Group Policy: Reynolds Family Plan
Claim Reference: CLM-2023-10-22-001
| # | Description of Surgical Services | Date of Service | Unit Price (GBP) | Total (GBP) |
|---|---|---|---|---|
| 1 |
Pre-Operative Surgical Consultation Comprehensive assessment of patient history, physical examination, and surgical planning for elective orthopaedic procedure. Includes discussion of risks, benefits, and alternatives in accordance with GMC guidelines. |
15/09/2023 | £350.00 | £350.00 |
| 2 |
Primary Surgical Procedure: Total Knee Arthroplasty Performed by Consultant Surgeon Dr. A. Sterling at Manchester Royal Infirmary. Includes anaesthetic liaison, surgical execution, and immediate post-operative care within the theatre suite. |
05/10/2023 | £4,500.00 | £4,500.00 |
| 3 |
Post-Operative Ward Rounds & Management Daily surgical reviews for 5 days post-operation to monitor recovery, manage pain, assess wound healing, and coordinate with nursing staff and physiotherapy teams. |
06/10/2023 | £600.00 | £600.00 |
| 4 |
Follow-Up Clinic Appointment Outpatient review at Manchester Surgical Specialists clinic. Includes wound check, suture removal, and assessment of mobility progress. |
19/10/2023 | £250.00 | £250.00 |
| 5 |
Medical Report for Insurance Detailed clinical report summarizing the diagnosis, surgical intervention, and prognosis for submission to BUPA and employer records. |
23/10/2023 | £150.00 | £150.00 |
Terms and Conditions & Payment Instructions
1. Payment Terms: Payment is due within 30 days of the invoice date. Late payments may incur interest charges at a rate of 4% above the Bank of England base rate.
2. Bank Transfer Details: Please make all payments via BACS or CHAPS to the following account:
Bank: Barclays Bank UK PLC
Sort Code: 20-00-00
Account Name: Manchester Surgical Specialists Ltd
Account Number: 12345678
Reference: INV-2023-MS-8842
3. VAT Registration: Manchester Surgical Specialists Ltd is registered for VAT in the United Kingdom. VAT Number: GB 998 8776 65.
4. Disputes: Any discrepancies regarding this invoice must be reported in writing within 14 days of receipt.
5. Privacy: Your personal data is processed in accordance with the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018.
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