JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shetuli |
| Age / Gender: | 45 Yrs / Female |
| Mobile: | 01306368914 |
| Address: | kendua kalibari,jamalpur |
| Invoice No: | LAB-2026-0123 |
| Billing Date: | 05-08-2026 04:40 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
self/hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | Electrolytes | 1,200.00 |
| 4 | Red Tube | 30.00 |
| 5 | Collection Set | 25.00 |
| Subtotal: | 2,255.00 BDT |
| Discount: | - 755.00 BDT |
| Grand Total: | 1,500.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature