JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ashik |
| Age / Gender: | 40 Yrs / Female |
| Mobile: | 01894372665 |
| Address: | koira Madergong |
| Invoice No: | LAB-2026-0523 |
| Billing Date: | 04-09-2026 01:44 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | CXR P/A | 700.00 |
| 6 | ICT for Dengue (IgE + LgM | 900.00 |
| 7 | USG Whole Abdomen | 1,500.00 |
| 8 | SGPT | 600.00 |
| 9 | Widal Test | 700.00 |
| 10 | Red Tube | 30.00 |
| 11 | Edta Tube | 30.00 |
| 12 | Collection Set | 25.00 |
| Subtotal: | 5,935.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 5,935.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature