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Quotation Estimate Orthodontist in Pakistan Karachi –Free Word Template Download with AI

Orthodontist Professional Services — Pakistan Karachi Document No: QTE-KHI-2025-0472 Prepared By: Dr. Ayesha Khan, MDS (Orthodontics)
SmileCraft Orthodontic Clinic
Clifton Block 5, Karachi, Sindh, Pakistan
Phone: +92-21-3584-7721
Email: [email protected]
Prepared For: Mr. Hamid Raza Sheikh
DHA Phase 6, Karachi, Sindh, Pakistan
Phone: +92-300-4567890
Email: [email protected]
Date of Issue: 15 June 2025
Valid Until: 15 July 2025
Currency: PKR (Pakistani Rupee)
1. Purpose of This Quotation Estimate

This Quotation Estimate is issued by SmileCraft Orthodontic Clinic, a licensed and registered Orthodontist practice operating in Pakistan Karachi, to provide Mr. Hamid Raza Sheikh with a comprehensive and transparent breakdown of all anticipated costs associated with his recommended orthodontic treatment plan. This document serves as a formal financial estimate and does not constitute a binding contract until both parties have signed and accepted the terms outlined herein. All pricing reflects the current market rates for Orthodontist services in Pakistan Karachi as of the date of issue.

2. Recommended Treatment Plan Overview

Following a thorough clinical examination, digital radiographic assessment (OPG and panoramic X-ray), and intraoral scanning conducted at our Pakistan Karachi clinic, the treating Orthodontist has recommended a full-course orthodontic intervention. The treatment involves the placement of ceramic (tooth-coloured) fixed braces on both the upper and lower dental arches, followed by a retention phase. The estimated total treatment duration is 24 to 30 months, subject to individual biological response and compliance with the Orthodontist's instructions.

3. Detailed Cost Breakdown
# Description of Service / Item Quantity Unit Price (PKR) Total (PKR)
1 Initial Consultation & Diagnostic Records (OPG, Cephalometric X-ray, Intraoral Photos, Digital Scan) 1 Session 8,500 8,500
2 Custom Treatment Plan Formulation by Senior Orthodontist 1 5,000 5,000
3 Ceramic Fixed Braces — Upper Arch (22 brackets, archwire, bands, ligatures) 1 Set 95,000 95,000
4 Ceramic Fixed Braces — Lower Arch (22 brackets, archwire, bands, ligatures) 1 Set 95,000 95,000
5 Monthly Adjustment & Monitoring Visits (Orthodontist appointment, wire changes, elastic changes) 28 Months 6,500 182,000
6 Interproximal Reduction (IPR) / Enamel Stripping (if clinically indicated) 1 Session 12,000 12,000
7 Debonding & Finishing (Removal of all brackets, polishing, occlusal adjustment) 1 Session 15,000 15,000
8 Fixed Retainer (Upper & Lower) + Removable Retainer (Hawley type, both arches) 1 Set 28,000 28,000
9 Post-Treatment Follow-Up Visits (3 months, 6 months, 12 months, 24 months) 4 Visits 3,500 14,000
10 Emergency / Breakage Repair (up to 2 incidents covered) 2 4,000 8,000
GRAND TOTAL (Inclusive of all listed services) PKR 462,500
4. Payment Schedule

To facilitate the treatment process, the Orthodontist at our Pakistan Karachi clinic offers the following instalment structure for this Quotation Estimate:

Milestone Amount (PKR) Due Date
Advance (upon signing this Quotation Estimate) 100,000 Within 7 days of acceptance
Braces Placement (Month 1) 150,000 On day of appliance bonding
Monthly Adjustments (Months 2–28) 6,500 / month Due at each appointment
Debonding & Retainer (Final Month) 60,000 At debonding appointment
Post-Treatment Follow-Ups 14,000 (total) Spread over 24 months
5. Terms and Conditions
  • This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. Prices are subject to revision after the validity period due to fluctuations in material costs within Pakistan Karachi.
  • All fees are payable in Pakistani Rupees (PKR) via bank transfer, cheque, or cash at the clinic reception in Clifton, Karachi.
  • The treating Orthodontist reserves the right to modify the treatment plan if clinical conditions change during the course of therapy. Any additional procedures not listed in this Quotation Estimate will be communicated in writing before commencement.
  • Patient compliance with oral hygiene instructions, dietary restrictions, and scheduled appointments is essential. Missed appointments beyond two consecutive visits may result in a re-booking fee of PKR 2,000.
  • This Quotation Estimate does not include the cost of any pre-existing dental work (fillings, extractions, periodontal treatment) that may be required prior to orthodontic treatment. Such costs will be quoted separately.
  • A 10% discount on the total Quotation Estimate amount will be applied if the full balance is settled in a single lump-sum payment before the braces placement appointment.
  • All services are performed by a registered Orthodontist holding a valid licence from the Pakistan Medical & Dental Council (PMDC) and are conducted in a fully sterilised, PMDC-compliant clinic in Pakistan Karachi.
  • This document is non-transferable and is issued exclusively to the named patient.
6. Acceptance & Authorization

By signing below, the patient acknowledges that they have read, understood, and accepted this Quotation Estimate for Orthodontist services in Pakistan Karachi. The patient confirms that all information provided is accurate and agrees to the payment schedule and terms outlined above.

Patient Signature & Date

Mr. Hamid Raza Sheikh

Orthodontist / Clinic Representative

Dr. Ayesha Khan, MDS (Ortho)

SmileCraft Orthodontic Clinic, Karachi

SmileCraft Orthodontic Clinic | Clifton Block 5, Karachi, Sindh, Pakistan | PMDC Reg. No: 4521-KHI | Phone: +92-21-3584-7721 | Email: [email protected]

This Quotation Estimate was generated on 15 June 2025. For any queries regarding this Orthodontist treatment estimate in Pakistan Karachi, please contact our clinic office during business hours (Monday–Saturday, 10:00 AM – 7:00 PM).

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