JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Fulu Mondol |
| Age / Gender: | 90 Yrs / Male |
| Mobile: | 01719845792 |
| Address: | Hajipur,jamalpur |
| Invoice No: | LAB-2026-0316 |
| Billing Date: | 21-08-2026 11:38 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr. Muhammad Mohsin MBBS (DMC), BCS (Health), FCPS (Medicine), MD (Medicine)
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | ECG (12+ ch / 6 ch / 3 ch) | 500.00 |
| 5 | Lumber spin b/v | 1,400.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| Subtotal: | 3,105.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 3,105.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature