Free Medical Service Invoice Template
Medical Service Invoice
Issued by: [YOUR NAME], [YOUR COMPANY NAME]
|
Invoice Number: |
INV-00012345 |
|---|---|
|
Invoice Date: |
2077-10-20 |
|
Due Date: |
2077-11-20 |
|
Patient Name: |
Jarvis White |
|
Address: |
Salt Lake City, UT 84101 |
|
Contact Information: |
222 555 7777 |
|
Description |
Quantity |
Unit Price |
Total |
|---|---|---|---|
|
Consultation |
1 |
$150.00 |
$150.00 |
|
Subtotal: |
$150.00 |
|---|---|
|
Tax (10%): |
$15.00 |
|
Total Amount: |
$165.00 |
