JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Anesa |
| Age / Gender: | 35 Yrs / Female |
| Mobile: | 01960677113 |
| Address: | Kamalkhan,jamalpur |
| Invoice No: | LAB-2026-0552 |
| Billing Date: | 06-09-2026 10:56 AM |
| Patient Type: | Indoor |
| Cabin/Ward: | 1104 |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | Hbs Ag | 500.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | ECG | 500.00 |
| 6 | CXR P/A | 700.00 |
| 7 | Edta Tube | 30.00 |
| 8 | Red Tube | 30.00 |
| 9 | Collection Set | 25.00 |
| 10 | Admission Fee | 200.00 |
| Subtotal: | 3,135.00 BDT |
| Discount: | - 235.00 BDT |
| Grand Total: | 2,900.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature