JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Forid Ahmed |
| Age / Gender: | 58 Yrs / Male |
| Mobile: | 01812157002 |
| Address: | baipas |
| Invoice No: | LAB-2026-0177 |
| Billing Date: | 11-08-2026 03:21 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Harun Or Rasdhid MBBS.BCS(Health) MCPS,DFM (BSMMU)PGT Medicine CCD Bardem
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | ICT for Dengue NS1) | 900.00 |
| 3 | ICT for Dengue IgE | 900.00 |
| 4 | ICT for Dengue LgM | 900.00 |
| 5 | Widal Test | 700.00 |
| 6 | Edta Tube | 20.00 |
| 7 | Red Tube | 30.00 |
| Subtotal: | 3,950.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 3,950.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature