JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ela |
| Age / Gender: | 25 Yrs / Female |
| Mobile: | 01 |
| Address: | Beltia Jamalpur |
| Invoice No: | LAB-2026-0489 |
| Billing Date: | 02-09-2026 08:25 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Hasanul Bari Shishir MBBS.(DMCH) BCS(Health) FCPS Surgery
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | ICT for TB | 800.00 |
| 2 | Uric Acid | 600.00 |
| Subtotal: | 1,400.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 1,400.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature