JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Juthi |
| Age / Gender: | 30 Yrs / Female |
| Mobile: | 01619126028 |
| Address: | Hajipur,jamalpur |
| Invoice No: | LAB-26-0699 |
| Billing Date: | 16-09-2026 03:47 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | LT knee joint B/V | 1,400.00 |
| 2 | Uric Acid | 600.00 |
| 3 | CBC | 500.00 |
| 4 | Collection Set | 25.00 |
| 5 | Edta Tube | 30.00 |
| Subtotal: | 2,555.00 BDT |
| Discount: | - 1,005.00 BDT |
| Grand Total: | 2,555.00 BDT |
| Money Received (Paid): | 1,550.00 BDT |
Patient / Guardian Signature
Authorized Signature