JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Samiul |
| Age / Gender: | 42 Yrs / Male |
| Mobile: | 01 |
| Address: | Madergonj |
| Invoice No: | LAB-2026-0192 |
| Billing Date: | 13-08-2026 03:36 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr. Md. Shamim Reza MBBS (RMC), BCS (Health), MS (Ortho), FCPS
Ref. Patient:
Dilip Modok
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray RT Wrist Joint B/V | 900.00 |
| Subtotal: | 900.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 900.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature