JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Parvez |
| Age / Gender: | 19 Yrs / Male |
| Mobile: | 01727005156 |
| Address: | Ghuradap,jamalpur |
| Invoice No: | LAB-26-0787 |
| Billing Date: | 22-09-2026 11:58 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Robiul Islam Roni MBBS.DLU.ENT,BSMMU
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | BT,CT | 400.00 |
| 4 | Hbs Ag | 500.00 |
| 5 | Blood Group &Rh Factor | 100.00 |
| 6 | S.Creatinine | 500.00 |
| 7 | TSH | 1,000.00 |
| 8 | ECG | 500.00 |
| 9 | CXR P/A | 700.00 |
| 10 | Admission Fee | 200.00 |
| Subtotal: | 4,550.00 BDT |
| Discount: | - 2,050.00 BDT |
| Grand Total: | 4,550.00 BDT |
| Money Received (Paid): | 2,500.00 BDT |
Patient / Guardian Signature
Authorized Signature