JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ajiron |
| Age / Gender: | 50 Yrs / Female |
| Mobile: | 01917591402 |
| Address: | Titpalla Jamalpur |
| Invoice No: | LAB-2026-0492 |
| Billing Date: | 03-09-2026 11:55 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | USG Whole Abdomen | 1,500.00 |
| Subtotal: | 1,500.00 BDT |
| Discount: | - 400.00 BDT |
| Grand Total: | 1,500.00 BDT |
| Money Received (Paid): | 1,100.00 BDT |
Patient / Guardian Signature
Authorized Signature