JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ripon |
| Age / Gender: | 35 Yrs / Male |
| Mobile: | 01752425767 |
| Address: | Titpalla |
| Invoice No: | LAB-26-0641 |
| Billing Date: | 12-09-2026 03:28 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | X-Ray KUB Region | 700.00 |
| 4 | Urine for R/M/E | 300.00 |
| 5 | CXR P/A | 700.00 |
| 6 | USG Whole Abdomen | 1,500.00 |
| 7 | S.Creatinine | 500.00 |
| 8 | Collection Set | 25.00 |
| 9 | Edta Tube | 30.00 |
| Subtotal: | 4,405.00 BDT |
| Discount: | - 1,755.00 BDT |
| Grand Total: | 4,405.00 BDT |
| Money Received (Paid): | 2,650.00 BDT |
Patient / Guardian Signature
Authorized Signature