JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Sayem |
| Age / Gender: | 6 Yrs / Male |
| Mobile: | 01762281869 |
| Address: | Madergonj |
| Invoice No: | LAB-2026-0470 |
| Billing Date: | 02-09-2026 01:39 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | BT,CT | 400.00 |
| 3 | Hbs Ag | 500.00 |
| 4 | Blood Group &Rh Factor | 100.00 |
| 5 | CXR P/A | 700.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| Subtotal: | 2,255.00 BDT |
| Discount: | - 55.00 BDT |
| Grand Total: | 2,200.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature