JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Kohinur |
| Age / Gender: | 38 Yrs / Male |
| Mobile: | 01602334962 |
| Address: | Shamgong Kalibari |
| Invoice No: | LAB-2026-0264 |
| Billing Date: | 17-08-2026 04:50 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Lumber spin b/v | 1,400.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | Random Blood Sugar | 150.00 |
| 4 | Urine for R/M/E | 500.00 |
| 5 | S. Uric Acid | 600.00 |
| 6 | Red Tube | 25.00 |
| 7 | Edta Tube | 30.00 |
| 8 | Collection Set | 25.00 |
| 9 | Urine pot | 25.00 |
| Subtotal: | 3,255.00 BDT |
| Discount: | - 255.00 BDT |
| Grand Total: | 3,000.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature