JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Mrs.Bristy |
| Age / Gender: | 24 Yrs / Female |
| Mobile: | 01613622191 |
| Address: | baipas |
| Invoice No: | LAB-2026-0135 |
| Billing Date: | 07-08-2026 01:50 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Rumana Afroz MBBS.BCS.(Health) FCPS Gyne
Ref. Patient:
Bozlo
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Blood Group &Rh Factor | 100.00 |
| 2 | CBC | 500.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | Random Blood Sugar | 150.00 |
| 5 | USG of Pelvic Organs | 1,200.00 |
| 6 | Edta Tube | 20.00 |
| 7 | Red Tube | 30.00 |
| Subtotal: | 2,300.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 2,300.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature