JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Taniya |
| Age / Gender: | 7 Yrs / Female |
| Mobile: | 01601003378 |
| Address: | Titpalla |
| Invoice No: | LAB-26-0727 |
| Billing Date: | 18-09-2026 12:05 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Rumana Afroz MBBS.BCS.(Health) FCPS Gyne
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | TSH | 1,000.00 |
| 2 | Collection Set | 25.00 |
| 3 | Edta Tube | 30.00 |
| Subtotal: | 1,055.00 BDT |
| Discount: | - 55.00 BDT |
| Grand Total: | 1,000.00 BDT |
| Money Received (Paid): | 1,000.00 BDT |
Patient / Guardian Signature
Authorized Signature