JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Suraiya |
| Age / Gender: | 16 Yrs / Female |
| Mobile: | 01791810260 |
| Address: | Mukondo bari.Jamalpur |
| Invoice No: | LAB-2026-0116 |
| Billing Date: | 05-08-2026 02:19 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Monir
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | X-Ray KUB Region | 600.00 |
| 3 | USG Whole Abdomen | 1,500.00 |
| 4 | Urine for R/M/E | 300.00 |
| 5 | S.Creatinine | 500.00 |
| 6 | Edta Tube | 20.00 |
| 7 | Collection Set | 25.00 |
| 8 | Red Tube | 30.00 |
| Subtotal: | 3,475.00 BDT |
| Discount: | - 1,275.00 BDT |
| Grand Total: | 2,200.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature