Quotation Estimate Ophthalmologist in Myanmar Yangon –Free Word Template Download with AI
Professional Ophthalmologist Services — Myanmar Yangon
Yangon Vision Care & Ophthalmology Centre
No. 42, Bo Ayethar Road, Kamayut Township
Yangon, Myanmar 11151
Tel: +95-9-795-123-456
Email: [email protected]
License No: MY-OPH-2024-0087
Prepared For:
Mr. Aung Kyaw Min
Personal Account / Private Patient
Address: No. 18, 27th Street, Insein Township
Yangon, Myanmar 11152
Tel: +95-9-456-789-012
This Quotation Estimate is issued by Yangon Vision Care & Ophthalmology Centre to provide a comprehensive and transparent breakdown of all anticipated costs associated with the full spectrum of Ophthalmologist services to be delivered to the above-named patient within the Myanmar Yangon metropolitan area. This document serves as a formal financial projection and is intended to assist the patient and their family in making informed decisions regarding the planned ophthalmic treatment pathway. All pricing reflects the current fee schedule of our Ophthalmologist team as of the date of issue and is subject to the terms outlined in Section 6 of this Quotation Estimate.
The following Ophthalmologist procedures and consultations have been recommended following the initial diagnostic assessment conducted on 10 June 2025 at our Myanmar Yangon facility. The treating Ophthalmologist, Dr. Thiri Aung (Board-Certified, 18 years of clinical experience), has outlined the treatment plan below. Each line item represents a discrete service component within the overall ophthalmic care package.
| No. | Ophthalmologist Service / Procedure | Description | Qty | Unit Price (MMK) | Total (MMK) |
|---|---|---|---|---|---|
| 1 | Comprehensive Ophthalmologist Consultation | Full eye examination, history review, and treatment planning by a senior Ophthalmologist | 2 | 45,000 | 90,000 |
| 2 | Dilated Fundus Examination | Retinal assessment using mydriatic drops performed by the Ophthalmologist | 2 | 25,000 | 50,000 |
| 3 | Optical Coherence Tomography (OCT) | High-resolution cross-sectional imaging of the retina and optic nerve | 2 | 35,000 | 70,000 |
| 4 | Anterior Segment Biometry (IOL Calculation) | Measurement for intraocular lens power selection prior to cataract surgery | 1 | 30,000 | 30,000 |
| 5 | Phacoemulsification Cataract Surgery (Right Eye) | Ultrasound-assisted cataract extraction with premium multifocal IOL implantation by the Ophthalmologist | 1 | 1,250,000 | 1,250,000 |
| 6 | Phacoemulsification Cataract Surgery (Left Eye) | Ultrasound-assisted cataract extraction with premium multifocal IOL implantation by the Ophthalmologist | 1 | 1,250,000 | 1,250,000 |
| 7 | Surgical Suite & Anaesthesia Fee | Operating theatre usage, topical/local anaesthesia, and nursing support per procedure | 2 | 180,000 | 360,000 |
| 8 | Post-Operative Ophthalmologist Follow-Up Visits | Four scheduled review appointments (Day 1, Day 7, Week 4, Month 3) with the treating Ophthalmologist | 4 | 35,000 | 140,000 |
| 9 | Prescription Medications & Eye Drops | Antibiotic, anti-inflammatory, and IOP-lowering drops for 6 weeks post-surgery | 1 | 95,000 | 95,000 |
| 10 | Post-Operative Protective Eyewear & Patch | Shield glasses and adhesive eye patch supplied by the clinic | 2 | 15,000 | 30,000 |
| Subtotal | 3,365,000 |
| Applicable Tax (5% VAT) | 168,250 |
| Emergency / Complication Reserve (10%) | 336,500 |
| GRAND TOTAL | 3,869,750 MMK |
All procedures outlined in this Quotation Estimate will be performed at our fully accredited facility located in the heart of Myanmar Yangon. The lead Ophthalmologist, Dr. Thiri Aung, is a Fellow of the Royal College of Ophthalmologists and has performed over 4,000 cataract surgeries. The surgical team includes two assistant ophthalmologists, a dedicated anaesthesia nurse, and a post-operative care coordinator. Our Myanmar Yangon centre is equipped with state-of-the-art phacoemulsification machines, OCT scanners, and a dedicated recovery ward to ensure the highest standard of patient safety and comfort.
A deposit of 50% of the total Quotation Estimate amount (MMK 1,934,875) is required to confirm the surgical booking and secure the operating theatre slot. The remaining balance is due within 7 days following the completion of all post-operative follow-up visits. Payment may be made via bank transfer to Yangon Vision Care & Ophthalmology Centre (CB Bank, Account No. 001-2345-6789) or in person at our Myanmar Yangon reception. International card payments (Visa, Mastercard) are accepted with a 2.5% processing surcharge.
- This Quotation Estimate is valid for 30 calendar days from the date of issue. Beyond this period, pricing may be revised to reflect changes in the Ophthalmologist fee schedule or medical supply costs in Myanmar Yangon.
- The emergency/complication reserve (10%) will only be charged if additional interventions beyond the standard Ophthalmologist treatment plan become medically necessary. Any unused reserve amount will be refunded within 14 days of final discharge.
- All Ophthalmologist services are subject to the patient's medical fitness for surgery as determined by the treating Ophthalmologist and the anaesthesia team. In the event that surgery is deferred or cancelled for medical reasons, the deposit will be fully refunded.
- This Quotation Estimate does not cover pre-existing systemic conditions (e.g., uncontrolled diabetes, hypertension) that may require separate specialist management outside the scope of ophthalmic care.
- Post-operative care instructions provided by the Ophthalmologist must be strictly followed. Non-compliance with prescribed medication regimens or follow-up schedules may affect surgical outcomes and is not covered under this Quotation Estimate.
- Any additional diagnostic imaging, laboratory tests, or specialist referrals not listed in this document will be quoted separately and require written patient consent before proceeding.
- This Quotation Estimate is non-transferable and is issued exclusively for the named patient. It does not constitute a guarantee of specific surgical outcomes, as individual Ophthalmologist results may vary based on anatomical and physiological factors.
- All medical records and imaging data generated during the course of treatment will be retained at our Myanmar Yangon facility in accordance with Myanmar's Health Records Act. Patients may request copies of their records in writing at any time.
By signing below, the patient (or authorized guardian) acknowledges receipt of this Quotation Estimate, confirms understanding of the proposed Ophthalmologist treatment plan, and authorizes Yangon Vision Care & Ophthalmology Centre to proceed with the services described herein at the Myanmar Yangon facility.
Patient / Authorized Guardian SignatureName: Aung Kyaw Min | Date: _______________ Ophthalmologist / Authorizing Physician
Name: Dr. Thiri Aung | Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
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