JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Nurjahan |
| Age / Gender: | 65 Yrs / Female |
| Mobile: | 01710153973 |
| Address: | Titpalla |
| Invoice No: | LAB-2026-0236 |
| Billing Date: | 15-08-2026 03:15 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | x-Rt Clavical B/V | 1,400.00 |
| Subtotal: | 1,400.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 1,400.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature