JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ayesha siddika |
| Age / Gender: | 12 Yrs / Female |
| Mobile: | 01748414883 |
| Address: | baipas |
| Invoice No: | LAB-2026-0214 |
| Billing Date: | 14-08-2026 01:11 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr. Muhammad Mohsin MBBS (DMC), BCS (Health), FCPS (Medicine), MD (Medicine)
Ref. Patient:
bozlu
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Random Blood Sugar | 150.00 |
| 2 | CBC | 500.00 |
| 3 | TSH | 1,000.00 |
| 4 | USG Whole Abdomen | 1,500.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 20.00 |
| 7 | Red Tube | 30.00 |
| Subtotal: | 3,225.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 3,225.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature