JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Bristy |
| Age / Gender: | 17 Yrs / Female |
| Mobile: | 01712189768 |
| Address: | baipas |
| Invoice No: | LAB-2026-0472 |
| Billing Date: | 02-09-2026 02:22 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | TSH | 1,000.00 |
| 2 | T3 | 1,000.00 |
| 3 | S.Testosterone | 1,500.00 |
| 4 | S.Prolactin | 1,500.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| Subtotal: | 5,055.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 5,055.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature