JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Amena |
| Age / Gender: | 28 Yrs / Female |
| Mobile: | 01 |
| Address: | Shamgong Kalibari |
| Invoice No: | LAB-26-0752 |
| Billing Date: | 19-09-2026 02:59 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Lumber spin A/P | 900.00 |
| 2 | Urine for R/M/E | 300.00 |
| 3 | Uric Acid | 600.00 |
| 4 | RA | 800.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| 7 | Urine pot | 25.00 |
| Subtotal: | 2,680.00 BDT |
| Discount: | - 780.00 BDT |
| Grand Total: | 2,680.00 BDT |
| Money Received (Paid): | 1,900.00 BDT |
Patient / Guardian Signature
Authorized Signature