JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rifat |
| Age / Gender: | 12 Yrs / Male |
| Mobile: | 01719519866 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-2026-0564 |
| Billing Date: | 06-09-2026 04:04 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamsur Rahman MBBS.BCS.(Health) FCPS (Surgery)
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Urine for R/M/E | 300.00 |
| Subtotal: | 800.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 800.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 800.00 BDT |
Patient / Guardian Signature
Authorized Signature