Invoice Veterinarian in Indonesia Jakarta –Free Word Template Download with AI
Veterinarian Clinic & Animal Hospital
Jl. Sudirman Kav. 45, Blok C-12
Setiabudi, South Jakarta 12920
Indonesia Jakarta
Tel: +62-21-520-8845 | Email: [email protected]
NPWP: 01.234.567.8-049.000
Licensed Veterinarian Practice – Indonesia JakartaBilled To (Client)
Name: Mrs. Ratna Dewi Kusuma
Address: Jl. Kemang Raya No. 28, RT 04/RW 12
Kemang, South Jakarta 12730
Indonesia Jakarta
Phone: +62-812-3456-7890
Email: [email protected]
Client ID: CL-2024-03318
Patient Information
Pet Name: Simba
Species: Domestic Cat (Felis catus)
Breed: Persian
Age: 4 years, 2 months
Sex: Male (Neutered)
Weight: 5.8 kg
Microchip No: 941-002-887-456
Veterinarian in Charge: drh. Andi Pratama, M.Vet
| No. | Description of Veterinarian Service | Date of Service | Qty | Unit Price (IDR) | Amount (IDR) |
|---|---|---|---|---|---|
| 1 | Comprehensive Veterinarian Consultation & Physical Examination – Full diagnostic assessment including auscultation, palpation, and neurological screening performed by a licensed Veterinarian specialist in Indonesia Jakarta | 10 Apr 2025 | 1 | 750,000 | 750,000 |
| 2 | Complete Blood Count (CBC) & Biochemistry Panel – Laboratory analysis to evaluate organ function, blood cell morphology, and metabolic markers as part of the Veterinarian diagnostic protocol | 10 Apr 2025 | 1 | 1,250,000 | 1,250,000 |
| 3 | Digital Radiography (X-Ray) – Thoracic and Abdominal views (2 projections) to assess skeletal integrity and internal organ positioning under Veterinarian supervision | 10 Apr 2025 | 2 | 650,000 | 1,300,000 |
| 4 | Abdominal Ultrasound Examination – Real-time sonographic imaging of liver, kidneys, spleen, and urinary tract conducted by the Veterinarian radiology team in Indonesia Jakarta | 11 Apr 2025 | 1 | 950,000 | 950,000 |
| 5 | Intravenous Fluid Therapy (Lactated Ringer's Solution) – 500 ml administered over 6 hours for dehydration management as prescribed by the attending Veterinarian | 11 Apr 2025 | 1 | 480,000 | 480,000 |
| 6 | Prescribed Medication – Meloxicam 0.2 mg/ml (NSAID) 10 ml + Omeprazole 40 mg (Gastroprotectant) 10 capsules, dispensed by the Veterinarian pharmacy unit | 11 Apr 2025 | 1 | 320,000 | 320,000 |
| 7 | Inpatient Hospitalization & Monitoring – 24-hour overnight stay with continuous vital sign monitoring, nursing care, and follow-up Veterinarian rounds in the Indonesia Jakarta facility | 11 Apr 2025 | 1 | 1,800,000 | 1,800,000 |
| 8 | Follow-up Veterinarian Consultation – Post-treatment evaluation, wound check, and discharge instructions provided by the lead Veterinarian in Indonesia Jakarta | 14 Apr 2025 | 1 | 500,000 | 500,000 |
Subtotal:IDR 7,450,000
Discount (Loyal Client – 5%):- IDR 372,500
PPN (VAT) 11%:IDR 765,575
GRAND TOTAL:IDR 7,843,075
Payment Instructions
Bank: Bank Central Asia (BCA)
Account Name: PT. Anugerah Hewan Sehat
Account Number: 441-2288-901 (a.n. PT. Anugerah Hewan Sehat)
Branch: Jakarta Sudirman, Indonesia Jakarta
SWIFT Code: KOPAIDJA
Please reference Invoice No. INV/2025/04/00872 in your transfer memo. Payment is due within 14 calendar days from the date of this Invoice. Late payments are subject to a 2% monthly surcharge as per the terms of our Veterinarian service agreement.
Important Notes & Veterinarian Recommendations
1. This Invoice covers all Veterinarian services rendered to the patient "Simba" between 10 April 2025 and 14 April 2025 at our clinic facility in Indonesia Jakarta.
2. The attending Veterinarian, drh. Andi Pratama, M.Vet, recommends a follow-up consultation in 3 weeks to monitor renal function recovery. A 10% discount will be applied to the follow-up visit if scheduled within the recommended window.
3. Please administer the prescribed Meloxicam at 0.1 mg/kg once daily for 7 days and Omeprazole at 1 mg/kg once daily for 14 days. Do not discontinue medication without consulting your Veterinarian.
4. A soft, easily digestible diet is recommended for the next 10 days. Avoid fatty or raw food items. Ensure fresh water is always available.
5. This Invoice is valid for 30 days from the date of issue. After this period, the Invoice may be subject to re-evaluation of applicable tax rates in Indonesia Jakarta.
6. For any disputes regarding this Invoice or the Veterinarian services provided, please contact our billing department within 7 business days. Our team in Indonesia Jakarta is available Monday through Saturday, 08:00–18:00 WIB.
Prepared by (Billing Department)
Sari WulandariSenior Accountant
PT. Anugerah Hewan Sehat
Authorized Veterinarian
drh. Andi Pratama, M.VetLead Veterinarian
SIP: 110/2024/IDI-HAI ⬇️ Download as DOCX Edit online as DOCX
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