Quotation Estimate Optometrist in India New Delhi –Free Word Template Download with AI
ClearSight Optometry Centre
42, Connaught Place, New Delhi – 110001, India
Phone: +91-11-4567-8900 | Email: [email protected]
GSTIN: 07AABCU1234F1Z5 | IOL Registration No: DL/OP/2019/04521
This Quotation Estimate is issued by ClearSight Optometry Centre, a registered and licensed Optometrist practice operating in New Delhi, India, in response to the client's request for a comprehensive eye examination and corrective vision services. This document serves as a formal Quotation Estimate outlining the scope of optometric services, associated costs, and applicable terms. All pricing in this Quotation Estimate is denominated in Indian Rupees (INR / ₹) and is subject to the prevailing Goods and Services Tax (GST) rates applicable in the National Capital Territory of Delhi, India.
As a certified Optometrist in New Delhi, India, our practice adheres to the standards set by the Indian Council of Optometry (ICO) and the Ministry of Health and Family Welfare, Government of India. This Quotation Estimate reflects our commitment to transparent, ethical, and affordable vision care for residents of New Delhi, India and the broader National Capital Region.
2. Itemized Services & Pricing (Quotation Estimate Breakdown)| S.No. | Optometrist Service Description | Unit | Qty | Rate (₹) | Amount (₹) |
|---|---|---|---|---|---|
| 1 | Comprehensive Optometrist Eye Examination (Visual Acuity, Refraction, Intraocular Pressure, Fundus Examination) | Session | 1 | 1,500.00 | 1,500.00 |
| 2 | Advanced Digital Retinal Imaging & OCT (Optical Coherence Tomography) Scan | Procedure | 1 | 2,800.00 | 2,800.00 |
| 3 | Binocular Vision & Ocular Motility Assessment by Senior Optometrist | Session | 1 | 1,200.00 | 1,200.00 |
| 4 | Prescription of Single-Vision Spectacle Lenses (CR-39, Anti-Reflective Coating) – Pair | Pair | 1 | 4,500.00 | 4,500.00 |
| 5 | Blue-Light Filtering Coating Add-on (for digital screen users) | Pair | 1 | 1,800.00 | 1,800.00 |
| 6 | Frame Fitting, Adjustment & Dispensing by Optometrist Technician | Service | 1 | 500.00 | 500.00 |
| 7 | Follow-up Optometrist Consultation (within 30 days of initial visit) | Session | 1 | 800.00 | 800.00 |
| 8 | Annual Eye Health Check-up Plan (2025–2026) – Optometrist in New Delhi, India | Year | 1 | 3,000.00 | 3,000.00 |
| Subtotal (Before GST): | 16,100.00 | ||||
| GST @ 18% (as applicable in New Delhi, India): | 2,898.00 | ||||
| GRAND TOTAL (Quotation Estimate Amount): | ₹ 18,998.00 | ||||
- Validity: This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. Beyond this period, the Optometrist practice reserves the right to revise pricing due to changes in material costs, GST rates, or operational expenses in New Delhi, India.
- Payment Terms: 50% advance payment is required at the time of booking the Optometrist consultation. The remaining 50% is due at the time of spectacle dispensing. Payments may be made via UPI, bank transfer, debit/credit card, or cash at our New Delhi, India clinic.
- Refund Policy: In the event of cancellation by the client, a 20% administrative fee will be deducted from any advance payment. No refunds are applicable once the Optometrist has completed the examination and issued a prescription.
- Warranty: All spectacle lenses dispensed under this Quotation Estimate carry a 12-month manufacturing defect warranty. Frame adjustments are free for 6 months from the date of dispensing.
- Applicability: This Quotation Estimate is specific to the client named above and the services listed. It does not constitute a binding contract until accepted in writing by both parties. The Optometrist in New Delhi, India may modify the scope of services with mutual written consent.
- Regulatory Compliance: All optometric services are performed in compliance with the Indian Medical Council (Professional Conduct) Regulations and the Delhi Optometrists Registration Act. The Quotation Estimate includes all statutory charges applicable in India, New Delhi.
- Confidentiality: All patient records, prescriptions, and examination data generated under this Quotation Estimate are treated as confidential in accordance with the Digital Personal Data Protection Act, 2023 (India).
By signing below, the client acknowledges receipt and acceptance of this Quotation Estimate for Optometrist services in New Delhi, India. The Optometrist practice confirms that all services will be delivered as described, with professional care and adherence to the standards of optometric practice in India.
For ClearSight Optometry Centre(Optometrist – New Delhi, India)
Dr. Ananya Mehta, M.Optom, FICO
Date: _______________ Client Acceptance
Mr. Rajesh Kumar Sharma
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
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