JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Sultana |
| Age / Gender: | 55 Yrs / Female |
| Mobile: | 01 |
| Address: | baipas |
| Invoice No: | LAB-26-0807 |
| Billing Date: | 23-09-2026 02:54 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Khorshed Alam MBBS , BCS (Health) FCPS Medicine
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CXR P/A | 700.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | Collection Set | 25.00 |
| 4 | Edta Tube | 30.00 |
| Subtotal: | 1,255.00 BDT |
| Discount: | - 255.00 BDT |
| Grand Total: | 1,000.00 BDT |
| Money Received (Paid): | 1,000.00 BDT |
Patient / Guardian Signature
Authorized Signature