JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Nur mohammad |
| Age / Gender: | 83 Yrs / Male |
| Mobile: | 01408412476 |
| Address: | Lahidikanda,jamalpur |
| Invoice No: | LAB-2026-0102 |
| Billing Date: | 04-08-2026 04:32 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr. Md. Shamim Reza
Ref. Patient:
Dr.Shamim Reza
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hbs Ag | 500.00 |
| 2 | Echocardiogram | 2,500.00 |
| 3 | Collection Set | 25.00 |
| 4 | Edta Tube | 20.00 |
| 5 | Red Tube | 30.00 |
| Subtotal: | 3,075.00 BDT |
| Discount: | - 575.00 BDT |
| Grand Total: | 2,500.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature