JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Bokol Begum |
| Age / Gender: | 45 Yrs / Female |
| Mobile: | 01780271434 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-2026-0272 |
| Billing Date: | 17-08-2026 06:08 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mahmud Hosen Nasim MBBS,BCS,(Health) MD (cardiology) CCD Bardem
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Random Blood Sugar | 150.00 |
| 2 | Edta Tube | 30.00 |
| 3 | Red Tube | 25.00 |
| Subtotal: | 205.00 BDT |
| Discount: | - 5.00 BDT |
| Grand Total: | 200.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature