JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Jusna |
| Age / Gender: | 42 Yrs / Female |
| Mobile: | 01623541187 |
| Address: | Langaljura |
| Invoice No: | LAB-2026-0458 |
| Billing Date: | 29-08-2026 01:43 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Ayesha
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | ICT for Dengue IgE | 900.00 |
| 2 | CBC | 500.00 |
| Subtotal: | 1,400.00 BDT |
| Discount: | - 550.00 BDT |
| Grand Total: | 850.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature