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  • Doctor Invoice

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    miranda crigger
    37 views1 page
    This invoice from a physician bills a patient $321 for a post-surgery check-up and arm sling. The invoice provides the doctor's contact information, the patient's billing information, descriptions of the services, prices, and amounts due. It notes the payment is due by January 14th and that the patient's recovery is going well.

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    simple doctor invoice template

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    This invoice from a physician bills a patient $321 for a post-surgery check-up and arm sling. The invoice provides the doctor's contact information, the patient's billing information, descriptions of the services, prices, and amounts due. It notes the payment is due by January 14th and that the patient's recovery is going well.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    37 views1 page

    Doctor Invoice

    Uploaded by

    miranda crigger
    This invoice from a physician bills a patient $321 for a post-surgery check-up and arm sling. The invoice provides the doctor's contact information, the patient's billing information, descriptions of the services, prices, and amounts due. It notes the payment is due by January 14th and that the patient's recovery is going well.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Physician / Office Name DOCTOR / PHYSICIAN

    Address Line 1
    Address Line 2
    City, State, ZIP
    1(123) 456-7899
    website@company.com
    your@email.com
    INVOICE

    Bill To Invoice # Payment Terms Amount Due


    Patient Name _e.g., 00000 _e.g., Net 14
    $ 321.00
    _Address Line 1
    Invoice Date Due Date
    _Address Line 2
    01/01/2025 01/14/2025
    _City, State, ZIP

    Description Qty / Hrs Price / Rate Amount

    _Post-surgery check-up 1 $ 250.00 $ 250.00

    _Arm sling 1 $ 50.00 $ 50.00

    $ 0.00

    $ 0.00

    $ 0.00

    $ 0.00

    Payment Method(s): _e.g., Check, credit card, or online Subtotal $ 300.00


    Tax $ 21.00
    Payment Link(s): _e.g., https://healthpaymentonline.com/ Misc.

    Notes: Recovering is going well! We look forward to seeing u back in 6 weeks. Amount Due $ 321.00
    yo

    Brought to you by InTouch Health!

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