JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Hosneara |
| Age / Gender: | 45 Yrs / Female |
| Mobile: | 01799342581 |
| Address: | Shahpur,jamalpur) |
| Invoice No: | LAB-26-0762 |
| Billing Date: | 20-09-2026 01:54 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Fasting Blood sugar | 150.00 |
| 2 | 2 hrsABF | 250.00 |
| 3 | CBC | 500.00 |
| 4 | HBA1c | 1,200.00 |
| 5 | Urine for R/M/E | 300.00 |
| 6 | USG Whole Abdomen | 1,500.00 |
| 7 | Collection Set | 25.00 |
| 8 | Edta Tube | 30.00 |
| 9 | Urine pot | 25.00 |
| 10 | Red Tube | 30.00 |
| Subtotal: | 4,010.00 BDT |
| Discount: | - 3,010.00 BDT |
| Grand Total: | 4,010.00 BDT |
| Money Received (Paid): | 1,000.00 BDT |
Patient / Guardian Signature
Authorized Signature