JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shahna |
| Age / Gender: | 36 Yrs / Female |
| Mobile: | 01319984192 |
| Address: | Beltia Jamalpur |
| Invoice No: | LAB-26-0766 |
| Billing Date: | 20-09-2026 05:29 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Collection Set | 25.00 |
| 3 | Red Tube | 30.00 |
| 4 | Edta Tube | 30.00 |
| Subtotal: | 585.00 BDT |
| Discount: | - 85.00 BDT |
| Grand Total: | 500.00 BDT |
| Money Received (Paid): | 500.00 BDT |
Patient / Guardian Signature
Authorized Signature