JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Khairol alam |
| Age / Gender: | 60 Yrs / Male |
| Mobile: | 01919861563 |
| Address: | baipas |
| Invoice No: | LAB-26-0714 |
| Billing Date: | 18-09-2026 10:19 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Fasting Blood sugar | 150.00 |
| 2 | 2 hrsABF | 250.00 |
| 3 | Red Tube | 30.00 |
| 4 | Collection Set | 25.00 |
| Subtotal: | 455.00 BDT |
| Discount: | - 255.00 BDT |
| Grand Total: | 455.00 BDT |
| Money Received (Paid): | 200.00 BDT |
Patient / Guardian Signature
Authorized Signature