JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Mithila |
| Age / Gender: | 16 Yrs / Female |
| Mobile: | 01338870584 |
| Address: | baipas,jamalpur |
| Invoice No: | LAB-26-0623 |
| Billing Date: | 11-09-2026 11:23 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Blood Group &Rh Factor | 100.00 |
| 2 | CBC | 500.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | Random Blood Sugar | 150.00 |
| 5 | Hbs Ag | 500.00 |
| 6 | USG Pregnancy Profile / Uterus & Adnexa | 1,000.00 |
| 7 | Red Tube | 30.00 |
| 8 | Edta Tube | 30.00 |
| 9 | Collection Set | 25.00 |
| 10 | Urine pot | 25.00 |
| Subtotal: | 2,660.00 BDT |
| Discount: | - 1,160.00 BDT |
| Grand Total: | 2,660.00 BDT |
| Money Received (Paid): | 1,500.00 BDT |
Patient / Guardian Signature
Authorized Signature