JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Bulfasion |
| Age / Gender: | 56 Yrs / Female |
| Mobile: | 01935309473 |
| Address: | dewangonj,jamalpur |
| Invoice No: | LAB-26-0635 |
| Billing Date: | 12-09-2026 01:58 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | RT knee joint B/V | 1,400.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | RA | 800.00 |
| 4 | Uric Acid | 600.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| Subtotal: | 3,355.00 BDT |
| Discount: | - 355.00 BDT |
| Grand Total: | 3,000.00 BDT |
| Money Received (Paid): | 3,000.00 BDT |
Patient / Guardian Signature
Authorized Signature