JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Jahid |
| Age / Gender: | 33 Yrs / Male |
| Mobile: | 01 |
| Address: | baipas |
| Invoice No: | LAB-26-0776 |
| Billing Date: | 21-09-2026 03:40 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Uric Acid | 600.00 |
| 2 | Collection Set | 25.00 |
| 3 | Edta Tube | 30.00 |
| Subtotal: | 655.00 BDT |
| Discount: | - 255.00 BDT |
| Grand Total: | 655.00 BDT |
| Money Received (Paid): | 400.00 BDT |
Patient / Guardian Signature
Authorized Signature