JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ayesha Rahman |
| Age / Gender: | 53 Yrs / Female |
| Mobile: | 01989820118 |
| Address: | Getpar,jamalpur |
| Invoice No: | LAB-26-0770 |
| Billing Date: | 21-09-2026 02:19 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Lumber spin B/V | 1,200.00 |
| 2 | Uric Acid | 600.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | Random Blood Sugar | 150.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| 8 | Urine pot | 25.00 |
| Subtotal: | 2,830.00 BDT |
| Discount: | - 730.00 BDT |
| Grand Total: | 2,100.00 BDT |
| Money Received (Paid): | 2,100.00 BDT |
Patient / Guardian Signature
Authorized Signature