JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Tuzammel Hossain |
| Age / Gender: | 85 Yrs / Male |
| Mobile: | 01616196522 |
| Address: | baipas |
| Invoice No: | LAB-2026-0355 |
| Billing Date: | 22-08-2026 02:11 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray KUB Region | 700.00 |
| 2 | ASO | 800.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | Urine pot | 25.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| Subtotal: | 1,880.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 1,880.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature