JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Md Bozlur Rahman- |
| Age / Gender: | 31 Yrs / Male |
| Mobile: | 01319319171 |
| Address: | Jamalpur |
| Invoice No: | LAB-2026-0184 |
| Billing Date: | 12-08-2026 07:22 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr. Md. Shamim Reza MBBS (RMC), BCS (Health), MS (Ortho), FCPS
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | ECG (12+ ch / 6 ch / 3 ch) | 500.00 |
| 2 | X-Ray RT Ankle Joint B/V | 1,200.00 |
| 3 | BT, CT | 400.00 |
| Subtotal: | 2,100.00 BDT |
| Discount: | - 200.00 BDT |
| Grand Total: | 1,900.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature