JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Monika |
| Age / Gender: | 26 Yrs / Female |
| Mobile: | 01750474147 |
| Address: | Titpalla |
| Invoice No: | LAB-2026-0554 |
| Billing Date: | 06-09-2026 01:13 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | OT Bill Paid | 13,000.00 |
| Subtotal: | 13,000.00 BDT |
| Discount: | - 7,000.00 BDT |
| Grand Total: | 13,000.00 BDT |
| Money Received (Paid): | 13,000.00 BDT |
Patient / Guardian Signature
Authorized Signature