JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Butto mia |
| Age / Gender: | 35 Yrs / Male |
| Mobile: | 01 |
| Address: | Shamgong Kalibari |
| Invoice No: | LAB-2026-0172 |
| Billing Date: | 11-08-2026 11:21 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Harun Or Rasdhid MBBS.BCS(Health) MCPS,DFM (BSMMU)PGT Medicine CCD Bardem
Ref. Patient:
Dilip Modok
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray Chest P/A View | 700.00 |
| 2 | ECG (12+ ch / 6 ch / 3 ch) | 500.00 |
| 3 | S. Uric Acid | 600.00 |
| 4 | Random Blood Sugar | 150.00 |
| 5 | S.Creatinine | 500.00 |
| 6 | Red Tube | 30.00 |
| 7 | Edta Tube | 20.00 |
| 8 | Collection Set | 25.00 |
| Subtotal: | 2,525.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 2,525.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature