JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Dulal |
| Age / Gender: | 50 Yrs / Male |
| Mobile: | 01926971203 |
| Address: | Bolorampur |
| Invoice No: | LAB-2026-0263 |
| Billing Date: | 17-08-2026 04:49 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Faruk marketing
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | S. Uric Acid | 600.00 |
| Subtotal: | 600.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 600.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature