JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Mominul Islam |
| Age / Gender: | 38 Yrs / Male |
| Mobile: | 01755984205 |
| Address: | vatara Jamalpur |
| Invoice No: | LAB-2026-0162 |
| Billing Date: | 10-08-2026 01:40 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Harun Or Rasdhid MBBS.BCS(Health) MCPS,DFM (BSMMU)PGT Medicine CCD Bardem
Ref. Patient:
sin
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | Urine for R/M/E | 500.00 |
| 4 | ICT for Dengue NS1) | 900.00 |
| 5 | S. Bilirubin Total | 500.00 |
| 6 | S.Creatinine | 500.00 |
| 7 | X-Ray Chest P/A View | 700.00 |
| 8 | Red Tube | 30.00 |
| 9 | Urine pot | 25.00 |
| 10 | Edta Tube | 20.00 |
| 11 | Collection Set | 25.00 |
| Subtotal: | 3,850.00 BDT |
| Discount: | - 350.00 BDT |
| Grand Total: | 3,500.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature