JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Anguri Begum |
| Age / Gender: | 65 Yrs / Female |
| Mobile: | 01354039310 |
| Address: | Madergonj |
| Invoice No: | LAB-2026-0107 |
| Billing Date: | 04-08-2026 07:06 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | ECG (12+ ch / 6 ch / 3 ch) | 500.00 |
| 2 | CBC | 500.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | Edta Tube | 20.00 |
| 5 | Red Tube | 30.00 |
| 6 | Collection Set | 25.00 |
| Subtotal: | 1,575.00 BDT |
| Discount: | - 75.00 BDT |
| Grand Total: | 1,500.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature