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: | 0 |
| Address: | N/A |
| Invoice No: | LAB-26-0649 |
| Billing Date: | 13-09-2026 12:25 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mahfuzul Islam Sumon MBBS.FCPS,CMU
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hbs Ag | 500.00 |
| 2 | Blood Group &Rh Factor | 100.00 |
| 3 | Random Blood Sugar | 150.00 |
| Subtotal: | 750.00 BDT |
| Discount: | - 150.00 BDT |
| Grand Total: | 750.00 BDT |
| Money Received (Paid): | 600.00 BDT |
Patient / Guardian Signature
Authorized Signature