JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Mira |
| Age / Gender: | 25 Yrs / Female |
| Mobile: | 01751386443 |
| Address: | Fulbadia Jamalpur |
| Invoice No: | LAB-26-0600 |
| Billing Date: | 08-09-2026 10:41 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | TSH | 1,000.00 |
| 2 | CBC | 500.00 |
| 3 | Random Blood Sugar | 150.00 |
| 4 | X-Ray Styloid Process B/V | 1,400.00 |
| 5 | Red Tube | 30.00 |
| 6 | Edta Tube | 30.00 |
| 7 | Collection Set | 25.00 |
| Subtotal: | 3,135.00 BDT |
| Discount: | - 15.00 BDT |
| Grand Total: | 3,120.00 BDT |
| Money Received (Paid): | 3,120.00 BDT |
Patient / Guardian Signature
Authorized Signature