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-2026-0103 |
| Billing Date: | 04-08-2026 04:54 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr. Md. Shamim Reza
Ref. Patient:
Dr.Shamim Reza
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | TSH | 1,000.00 |
| Subtotal: | 1,000.00 BDT |
| Discount: | - 300.00 BDT |
| Grand Total: | 700.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature