JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | sdfs |
| Age / Gender: | 4 Yrs / Male |
| Mobile: | sdfd |
| Address: | N/A |
| Invoice No: | LAB-2026-0063 |
| Billing Date: | 04-08-2026 12:14 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray Abdomen in E/P | 600.00 |
| 2 | X-Ray Ankle Joint B/V | 1,200.00 |
| 3 | X-Ray Arm / Forarm B/ View | 800.00 |
| 4 | X-Ray Ba-Meal Follow Through | 4,000.00 |
| 5 | S. Alk. Phosphate | 1,000.00 |
| 6 | Collection Set | 25.00 |
| 7 | Bilirubin Direct / Indirect | 800.00 |
| 8 | Dope Test (ICT) | 1,500.00 |
| Subtotal: | 9,925.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 9,925.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature