JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Chiropal |
| Age / Gender: | 62 Yrs / Male |
| Mobile: | 01735620909 |
| Address: | baipas |
| Invoice No: | LAB-26-0768 |
| Billing Date: | 21-09-2026 01:29 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | 2 hrsABF | 250.00 |
| Subtotal: | 250.00 BDT |
| Discount: | - 100.00 BDT |
| Grand Total: | 150.00 BDT |
| Money Received (Paid): | 150.00 BDT |
Patient / Guardian Signature
Authorized Signature