JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Bithi |
| Age / Gender: | 25 Yrs / Female |
| Mobile: | 01318327560 |
| Address: | koira Madergong |
| Invoice No: | LAB-2026-0249 |
| Billing Date: | 16-08-2026 02:40 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Blood Group &Rh Factor | 100.00 |
| 3 | Hbs Ag | 500.00 |
| 4 | Random Blood Sugar | 150.00 |
| 5 | S.Creatinine | 500.00 |
| 6 | USG Pregnancy Profile / Uterus & Adnexa | 1,000.00 |
| 7 | Urine for R/M/E | 500.00 |
| 8 | TSH | 1,000.00 |
| 9 | Edta Tube | 30.00 |
| 10 | Red Tube | 25.00 |
| 11 | Collection Set | 25.00 |
| 12 | Urine pot | 25.00 |
| Subtotal: | 4,355.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 4,355.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature