JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shirina |
| Age / Gender: | 45 Yrs / Female |
| Mobile: | 01979821754 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-2026-0121 |
| Billing Date: | 05-08-2026 03:56 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr. Md. Shamim Reza MBBS (RMC), BCS (Health), MS (Ortho), FCPS
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray Lumber Spine B/ View | 1,000.00 |
| 2 | S. Uric Acid | 600.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | Random Blood Sugar | 150.00 |
| 5 | CBC | 500.00 |
| 6 | Urine for R/M/E | 300.00 |
| 7 | Red Tube | 30.00 |
| 8 | Edta Tube | 20.00 |
| 9 | Collection Set | 25.00 |
| 10 | Urine pot | 25.00 |
| Subtotal: | 3,150.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 3,150.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature