JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Zihan |
| Age / Gender: | 19 Yrs / Female |
| Mobile: | 01606664091 |
| Address: | vatara Jamalpur |
| Invoice No: | LAB-26-0696 |
| Billing Date: | 16-09-2026 03:31 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamsur Rahman MBBS.BCS.(Health) FCPS (Surgery)
Ref. Patient:
Sinthia SACMO
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | Collection Set | 25.00 |
| 5 | Edta Tube | 30.00 |
| 6 | Urine pot | 25.00 |
| Subtotal: | 1,030.00 BDT |
| Discount: | - 30.00 BDT |
| Grand Total: | 1,000.00 BDT |
| Money Received (Paid): | 1,000.00 BDT |
Patient / Guardian Signature
Authorized Signature