JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Liza |
| Age / Gender: | 18 Yrs / Female |
| Mobile: | 0 |
| Address: | baipas,jamalpur |
| Invoice No: | LAB-26-0677 |
| Billing Date: | 14-09-2026 06:23 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Urine pt | 200.00 |
| Subtotal: | 200.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 200.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 200.00 BDT |
Patient / Guardian Signature
Authorized Signature