The Dental Receipt Template is an essential document for dental practices operating in the United Arab Emirates, designed to meet both clinical and regulatory requirements. This template is used to document dental services provided, financial transactions, and to ensure compliance with UAE healthcare documentation standards and VAT regulations. It serves multiple purposes including patient record-keeping, insurance claims processing, tax compliance, and healthcare authority reporting. The template is structured to accommodate both simple and complex dental procedures, including provisions for insurance coverage, laboratory fees, and multiple treatment sessions. It incorporates all necessary elements required by UAE federal laws regarding healthcare documentation and financial record-keeping, including the 5% VAT requirement where applicable.

1. Practice Information: Dental practice name, address, contact details, and medical license number as required by UAE healthcare regulations

2. Receipt Number: Unique identifier for the receipt/invoice for tracking purposes

3. Date and Time: Date and time of service provision

4. Patient Information: Patient's full name, file number, and contact information

5. Service Details: Itemized list of dental procedures performed with their respective procedure codes

6. Financial Breakdown: Individual cost of each service, subtotal, VAT amount (5%), and total amount

7. Payment Information: Payment method, payment status (paid/pending), and transaction reference number

8. Treating Dentist: Name and license number of the dental professional who provided the service