JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Kolpona |
| Age / Gender: | 40 Yrs / Female |
| Mobile: | 01712671398 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-2026-0439 |
| Billing Date: | 28-08-2026 12:55 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamsur Rahman MBBS.BCS.(Health) FCPS (Surgery)
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Blood Group &Rh Factor | 100.00 |
| 2 | CBC | 500.00 |
| 3 | Random Blood Sugar | 150.00 |
| 4 | Hbs Ag | 500.00 |
| 5 | S.Creatinine | 500.00 |
| 6 | X-Ray Chest P/A View | 700.00 |
| 7 | ECG (12+ ch / 6 ch / 3 ch) | 500.00 |
| 8 | S. Bilirubin Total | 500.00 |
| 9 | SGPT | 600.00 |
| 10 | Collection Set | 25.00 |
| 11 | Edta Tube | 30.00 |
| 12 | Red Tube | 25.00 |
| Subtotal: | 4,130.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 4,130.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature