JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Software Developer Test |
| Age / Gender: | 50 Yrs / Male |
| Mobile: | 01912699099 |
| Address: | Jamalpur |
| Invoice No: | LAB-2026-0571 |
| Billing Date: | 06-09-2026 05:34 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | D/L Spine & Latteral view | 900.00 |
| 2 | Collection Set | 25.00 |
| 3 | LT Shoulder joint B/V | 1,400.00 |
| 4 | Lumber spin B/V | 1,200.00 |
| 5 | Random Blood Sugar | 150.00 |
| 6 | ANA | 2,000.00 |
| 7 | CA 19-9 (Cancer Antigen 19-9) | 2,500.00 |
| 8 | Hbs Ag | 500.00 |
| 9 | Dengue Ns1 | 900.00 |
| 10 | X-Ray Cervical Spine B/ View | 1,200.00 |
| Subtotal: | 10,775.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 10,775.00 BDT |
| Money Received (Paid): | 500.00 BDT |
| Due: | 10,275.00 BDT |
Patient / Guardian Signature
Authorized Signature