JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Jhosna |
| Age / Gender: | 38 Yrs / Male |
| Mobile: | 01752294307 |
| Address: | N/A |
| Invoice No: | LAB-2026-0360 |
| Billing Date: | 22-08-2026 03:17 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray Arm / Forarm B/ View | 900.00 |
| Subtotal: | 900.00 BDT |
| Discount: | - 200.00 BDT |
| Grand Total: | 700.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature