JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Sifat |
| Age / Gender: | 22 Yrs / Male |
| Mobile: | 01841326017 |
| Address: | baipas,jamalpur |
| Invoice No: | LAB-26-0609 |
| Billing Date: | 09-09-2026 10:54 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamsur Rahman MBBS.BCS.(Health) FCPS (Surgery)
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Blood Group &Rh Factor | 100.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | Hbs Ag | 500.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | CXR P/A | 700.00 |
| 6 | ECG | 500.00 |
| 7 | Red Tube | 30.00 |
| 8 | Edta Tube | 30.00 |
| 9 | Collection Set | 25.00 |
| 10 | Admission Fee | 200.00 |
| Subtotal: | 2,735.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 2,735.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 2,735.00 BDT |
Patient / Guardian Signature
Authorized Signature