JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Suhag Khan |
| Age / Gender: | 38 Yrs / Male |
| Mobile: | 01623541187 |
| Address: | Langaljura |
| Invoice No: | LAB-2026-0543 |
| Billing Date: | 05-09-2026 03:17 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Aysha
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | ICT Dengue | 800.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | Urine pot | 25.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| Subtotal: | 1,680.00 BDT |
| Discount: | - 680.00 BDT |
| Grand Total: | 1,000.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature