JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shefali |
| Age / Gender: | 55 Yrs / Female |
| Mobile: | 01402712535 |
| Address: | Baipas,jamalpur |
| Invoice No: | LAB-2026-0253 |
| Billing Date: | 16-08-2026 04:44 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray Rt Leg B/V | 1,400.00 |
| 2 | X-ray RT Arm B/V | 900.00 |
| Subtotal: | 2,300.00 BDT |
| Discount: | - 700.00 BDT |
| Grand Total: | 1,600.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature