JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rokeya |
| Age / Gender: | 70 Yrs / Female |
| Mobile: | 01864801682 |
| Address: | Kujgor Jamalpur |
| Invoice No: | LAB-2026-0105 |
| Billing Date: | 04-08-2026 06:09 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Mehedi/menegar
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | HBA1c | 1,200.00 |
| 2 | Urine for R/M/E | 300.00 |
| Subtotal: | 1,500.00 BDT |
| Discount: | - 700.00 BDT |
| Grand Total: | 800.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature