Patient Invoice
Patient Invoice
Invoice
120 example, info 30
India, Road 303030
Phone: (+91) 123 456 7890
India, Road 303030
Phone: (+91) 123 456 7890
Order # 534687
30 July 2020
30 July 2020
Billed To:
John Smith
120 example, info 30India, Road 303030
Phone: (+91) 123 456 7890
Payment Method:
Credit Card
Visa ending **** 9564info@example.com
Total Due:
$ 2140.00
Order summary
| # | Item | Description | Unit Cost | Qty | Total |
|---|---|---|---|---|---|
| 1 | Origin License | Extended License | $999,00 | 1 | $999,00 |
| 2 | Custom Services | Instalation and Customization (cost per hour) | $150,00 | 20 | $3.000,00 |
| 3 | Hosting | 1 year subcription | $499,00 | 1 | $499,00 |
| 4 | Platinum Support | 1 year subcription 24/7 | $3.999,00 | 1 | $3.999,00 |
| Subtotal | $8.497,00 |
| Discount (20%) | $1,699,40 |
| VAT (10%) | $679,76 |
| Total | $7.477,36 0.15050000 BTC |