JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Nasrin |
| Age / Gender: | 35 Yrs / Female |
| Mobile: | 01724834403 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-2026-0250 |
| Billing Date: | 16-08-2026 02:47 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | TSH | 1,000.00 |
| 4 | Red Tube | 25.00 |
| 5 | Edta Tube | 30.00 |
| 6 | Collection Set | 25.00 |
| Subtotal: | 1,730.00 BDT |
| Discount: | - 480.00 BDT |
| Grand Total: | 1,250.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature