JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Bipul |
| Age / Gender: | 18 Yrs / Male |
| Mobile: | 01765845998 |
| Address: | Madergonj |
| Invoice No: | LAB-2026-0124 |
| Billing Date: | 06-08-2026 12:21 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Lal Chan
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Urine for R/M/E | 300.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | Urine pot | 25.00 |
| 4 | Collection Set | 25.00 |
| 5 | Edta Tube | 20.00 |
| Subtotal: | 520.00 BDT |
| Discount: | - 220.00 BDT |
| Grand Total: | 300.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature