JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shahida Parven |
| Age / Gender: | 37 Yrs / Female |
| Mobile: | 01920215996 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-2026-0255 |
| Billing Date: | 16-08-2026 05:05 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Urine for R/M/E | 500.00 |
| 3 | ECG (12+ ch / 6 ch / 3 ch) | 500.00 |
| 4 | X-Ray Chest P/A View | 700.00 |
| 5 | S.Creatinine | 500.00 |
| 6 | Random Blood Sugar | 150.00 |
| 7 | HBA1c | 1,200.00 |
| 8 | Hbs Ag | 500.00 |
| 9 | Blood Group &Rh Factor | 100.00 |
| 10 | USG Whole Abdomen | 1,500.00 |
| 11 | Prothrombin Time | 1,200.00 |
| 12 | SGPT | 600.00 |
| 13 | S. Bilirubin Total | 500.00 |
| 14 | S. Alk phosphate | 1,000.00 |
| 15 | TSH | 1,000.00 |
| 16 | Edta Tube | 30.00 |
| 17 | Red Tube | 25.00 |
| 18 | Collection Set | 25.00 |
| 19 | Urine pot | 25.00 |
| Subtotal: | 10,555.00 BDT |
| Discount: | - 4,555.00 BDT |
| Grand Total: | 6,000.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature