JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Tawhid |
| Age / Gender: | 4 Yrs / Male |
| Mobile: | 01 |
| Address: | Nandina,jamalpur |
| Invoice No: | LAB-26-0758 |
| Billing Date: | 19-09-2026 03:53 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Dr.Shamim Reza
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | OT Bill Paid | 25,000.00 |
| Subtotal: | 25,000.00 BDT |
| Discount: | - 4,000.00 BDT |
| Grand Total: | 21,000.00 BDT |
| Money Received (Paid): | 21,000.00 BDT |
Patient / Guardian Signature
Authorized Signature