JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Selina |
| Age / Gender: | 31 Yrs / Female |
| Mobile: | 01775312004 |
| Address: | Beltia Jamalpur |
| Invoice No: | LAB-26-0676 |
| Billing Date: | 14-09-2026 06:19 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| Subtotal: | 500.00 BDT |
| Discount: | - 150.00 BDT |
| Grand Total: | 350.00 BDT |
| Money Received (Paid): | 350.00 BDT |
Patient / Guardian Signature
Authorized Signature