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ANNEXES Annex 5 Ex ample of a proforma for routine documentation of head injury in adult patients Name: Head injury assessment in ED Date / / Time PATIENT LABEL / History: Recall of incident: No Mechanism:
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How to fill out an example of a proforma:

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Start by entering the necessary information such as the company name, address, and contact details. This will ensure that the proforma is properly identified.
02
Include a unique proforma number or reference for internal tracking purposes. This will help in managing and organizing proformas effectively.
03
List the products or services being offered in the proforma. Include a detailed description, quantity, unit price, and any applicable discounts or promotions. This will provide clarity to the recipient regarding what they are being invoiced for.
04
Calculate the subtotal by multiplying the quantity with the unit price for each item listed. This will provide a clear breakdown of the cost.
05
If applicable, include any additional charges such as shipping fees, taxes, or customs duties. This will help provide a comprehensive understanding of the total amount due.
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Calculate the total amount by adding the subtotal and any additional charges. This will provide the final amount that the recipient needs to pay.
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If applicable, specify the payment terms and methods accepted by the company. This will inform the recipient on how they can settle the payment.
08
Include any specific terms and conditions that are relevant to the proforma, such as the validity period or any special instructions. This will prevent any misunderstandings or disputes down the line.

Who needs an example of a proforma:

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Business owners or entrepreneurs who want to understand how to create a proforma for their own company.
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Finance and accounting personnel who handle invoicing and financial documentation for the company.
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Individuals or organizations who are unfamiliar with proformas and need guidance on how to interpret and respond to them.
By following these steps and providing an example, individuals can properly fill out a proforma and understand its significance in business transactions.
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