JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shahida |
| Age / Gender: | 20 Yrs / Female |
| Mobile: | 01750474147 |
| Address: | Titpalla |
| Invoice No: | LAB-2026-0308 |
| Billing Date: | 20-08-2026 06:03 PM |
| Patient Type: | Indoor |
| Cabin/Ward: | 5818 |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | OT Bill Paid | 20,000.00 |
| Subtotal: | 20,000.00 BDT |
| Discount: | - 4,500.00 BDT |
| Grand Total: | 15,500.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature