JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Mitul Akter |
| Age / Gender: | 26 Yrs / Female |
| Mobile: | 01799342581 |
| Address: | Shahpur,jamalpur) |
| Invoice No: | LAB-26-0761 |
| Billing Date: | 20-09-2026 01:49 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | TSH | 1,000.00 |
| 2 | Lipid Profile | 1,400.00 |
| 3 | BT,CT | 400.00 |
| 4 | Hb% | 200.00 |
| 5 | T3 | 1,000.00 |
| 6 | T4 (Thyroxine) | 1,000.00 |
| 7 | Collection Set | 25.00 |
| 8 | Edta Tube | 30.00 |
| Subtotal: | 5,055.00 BDT |
| Discount: | - 3,055.00 BDT |
| Grand Total: | 5,055.00 BDT |
| Money Received (Paid): | 2,000.00 BDT |
Patient / Guardian Signature
Authorized Signature