JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Atikul mia |
| Age / Gender: | 18 Yrs / Male |
| Mobile: | 01712410547 |
| Address: | Somvov madokasokti niramoy kendro |
| Invoice No: | LAB-2026-0157 |
| Billing Date: | 08-08-2026 05:30 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | Red Tube | 30.00 |
| 5 | Collection Set | 25.00 |
| Subtotal: | 1,005.00 BDT |
| Discount: | - 505.00 BDT |
| Grand Total: | 500.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature