JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | dd |
| Age / Gender: | 3 Yrs / Male |
| Mobile: | dd |
| Address: | N/A |
| Invoice No: | LAB-2026-0062 |
| Billing Date: | 04-08-2026 12:12 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | D-Dimer | 2,000.00 |
| 2 | Dope Test (ICT) | 1,500.00 |
| 3 | CT Scan of Brain | 3,000.00 |
| Subtotal: | 6,500.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 6,500.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature