Medicine Invoice

[YOUR COMPANY NAME]
Provider: Dr. [YOUR NAME]
Invoice No: INV-2075-001
Date: January 6, 2075

Patient Name: Jeremy Marvin
Patient Contact Number: 222 555 7777
Billing Address: Omaha, NE 68101

Item Description	Quantity	Unit Price	Total
Pain Reliever Tablets	2	$15.00	$30.00
Antibiotic Capsules	1	$25.00	$25.00

Subtotal: $55.00
Tax (9%): $4.95
Total Due: $59.95

Payment Due by: January 20, 2075

Thank you for choosing [YOUR COMPANY NAME] for your healthcare needs!