JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Tania |
| Age / Gender: | 20 Yrs / Female |
| Mobile: | 01791250255 |
| Address: | Madergonj |
| Invoice No: | LAB-26-0577 |
| Billing Date: | 06-09-2026 10:14 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Dil Afrose Nisha MBBS (DU).BCS (Health) FCPS (Gynae&Obs)
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Random Blood Sugar | 150.00 |
| 2 | Hbs Ag | 500.00 |
| 3 | Uric Acid | 600.00 |
| 4 | Lt Ankle joint B/V | 1,400.00 |
| 5 | USG Whole Abdomen | 1,500.00 |
| 6 | Blood Group &Rh Factor | 100.00 |
| 7 | NS1 | 800.00 |
| 8 | LT Thigh B/V | 1,400.00 |
| 9 | Chest A/P | 700.00 |
| 10 | CBC | 500.00 |
| 11 | TSH | 1,000.00 |
| 12 | PBF | 800.00 |
| 13 | Collection Set | 25.00 |
| 14 | Edta Tube | 30.00 |
| 15 | Urine pot | 25.00 |
| Subtotal: | 9,530.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 9,530.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 9,530.00 BDT |
Patient / Guardian Signature
Authorized Signature