JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Romjan |
| Age / Gender: | 28 Yrs / Male |
| Mobile: | 01 |
| Address: | Titpalla |
| Invoice No: | LAB-26-0612 |
| Billing Date: | 09-09-2026 12:43 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Local Ot charge | 600.00 |
| Subtotal: | 600.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 600.00 BDT |
| Money Received (Paid): | 600.00 BDT |
Patient / Guardian Signature
Authorized Signature