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: | 01750474147 |
| Address: | Titpalla |
| Invoice No: | LAB-26-0682 |
| Billing Date: | 15-09-2026 05:20 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamsur Rahman MBBS.BCS.(Health) FCPS (Surgery)
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | OT Bill Advance | 10,000.00 |
| 2 | Medicine Bill | 6,300.00 |
| 3 | Cabin Charge | 4,000.00 |
| 4 | Sarvice charge | 2,000.00 |
| 5 | Doctor Round Fee | 2,000.00 |
| Subtotal: | 24,300.00 BDT |
| Discount: | - 5,800.00 BDT |
| Grand Total: | 24,300.00 BDT |
| Money Received (Paid): | 18,500.00 BDT |
Patient / Guardian Signature
Authorized Signature