JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Gofur |
| Age / Gender: | 60 Yrs / Male |
| Mobile: | 01925092222 |
| Address: | Beltia ,Jamalpur |
| Invoice No: | LAB-2026-0498 |
| Billing Date: | 03-09-2026 03:31 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Lt Hip joint A/P | 900.00 |
| 2 | Uric Acid | 600.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | Random Blood Sugar | 150.00 |
| 5 | RA | 800.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| Subtotal: | 3,005.00 BDT |
| Discount: | - 5.00 BDT |
| Grand Total: | 3,000.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature