JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Forid |
| Age / Gender: | 45 Yrs / Male |
| Mobile: | 01 |
| Address: | Ghunti,jamalpur |
| Invoice No: | LAB-2026-0414 |
| Billing Date: | 26-08-2026 03:33 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | S.Creatinine | 500.00 |
| 2 | Collection Set | 25.00 |
| 3 | Edta Tube | 30.00 |
| Subtotal: | 555.00 BDT |
| Discount: | - 205.00 BDT |
| Grand Total: | 350.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature