JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Boishakhi |
| Age / Gender: | 26 Yrs / Female |
| Mobile: | 01717334705 |
| Address: | Hajipur,jamalpur |
| Invoice No: | LAB-2026-0262 |
| Billing Date: | 17-08-2026 04:46 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | LT Foot B/V | 1,400.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | Red Tube | 25.00 |
| 4 | Collection Set | 25.00 |
| Subtotal: | 1,950.00 BDT |
| Discount: | - 250.00 BDT |
| Grand Total: | 1,700.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature