JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | vvv |
| Age / Gender: | 44 Yrs / Male |
| Mobile: | vvv |
| Address: | N/A |
| Invoice No: | LAB-2026-0022 |
| Billing Date: | 01-08-2026 05:48 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | FT4 | 1,500.00 |
| Subtotal: | 1,500.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 1,500.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature