JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Anik(Roksana) |
| Age / Gender: | 24 Yrs / Male |
| Mobile: | 01870164281 |
| Address: | Getpar,jamalpur |
| Invoice No: | LAB-26-0803 |
| Billing Date: | 22-09-2026 09:40 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
jahid motors
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hbs Ag | 500.00 |
| 2 | Collection Set | 25.00 |
| 3 | Edta Tube | 30.00 |
| Subtotal: | 555.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 555.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 555.00 BDT |
Patient / Guardian Signature
Authorized Signature