JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Golap |
| Age / Gender: | 45 Yrs / Male |
| Mobile: | 01300821954 |
| Address: | Sherpur |
| Invoice No: | LAB-2026-0412 |
| Billing Date: | 26-08-2026 02:46 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray Chest P/A View | 700.00 |
| 2 | LT Thigh B/V | 1,400.00 |
| 3 | ECG (12+ ch / 6 ch / 3 ch) | 500.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | Random Blood Sugar | 150.00 |
| 6 | Hbs Ag | 500.00 |
| 7 | CBC | 500.00 |
| 8 | Blood Group &Rh Factor | 100.00 |
| 9 | Collection Set | 25.00 |
| 10 | Edta Tube | 30.00 |
| Subtotal: | 4,405.00 BDT |
| Discount: | - 1,405.00 BDT |
| Grand Total: | 3,000.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature