JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Moti Mia |
| Age / Gender: | 65 Yrs / Male |
| Mobile: | 01638671786 |
| Address: | baniya bazar,jamalpur |
| Invoice No: | LAB-26-0810 |
| Billing Date: | 23-09-2026 03:50 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | CXR P/A | 700.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | ECG | 500.00 |
| 6 | Hbs Ag | 500.00 |
| 7 | X-Ray KUB Region | 700.00 |
| 8 | USG Whole Abdomen | 1,500.00 |
| 9 | Collection Set | 25.00 |
| 10 | Edta Tube | 30.00 |
| 11 | Urine for R/M/E | 300.00 |
| 12 | Urine pot | 25.00 |
| Subtotal: | 5,430.00 BDT |
| Discount: | - 2,930.00 BDT |
| Grand Total: | 5,430.00 BDT |
| Money Received (Paid): | 2,500.00 BDT |
Patient / Guardian Signature
Authorized Signature