JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shefali |
| Age / Gender: | 22 Yrs / Female |
| Mobile: | 01635694978 |
| Address: | Titpalla |
| Invoice No: | LAB-26-0796 |
| Billing Date: | 22-09-2026 05:03 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | USG Pregnancy Profile / Uterus & Adnexa | 1,000.00 |
| Subtotal: | 1,000.00 BDT |
| Discount: | - 300.00 BDT |
| Grand Total: | 700.00 BDT |
| Money Received (Paid): | 700.00 BDT |
Patient / Guardian Signature
Authorized Signature