JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Beli |
| Age / Gender: | 26 Yrs / Female |
| Mobile: | 01767620304 |
| Address: | Kalibari,jamalpur |
| Invoice No: | LAB-26-0799 |
| Billing Date: | 22-09-2026 06:09 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | USG Lower Abdomen | 1,200.00 |
| 3 | Red Tube | 30.00 |
| 4 | Collection Set | 25.00 |
| Subtotal: | 1,755.00 BDT |
| Discount: | - 505.00 BDT |
| Grand Total: | 1,255.00 BDT |
| Money Received (Paid): | 1,250.00 BDT |
Patient / Guardian Signature
Authorized Signature