JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shahera Zaman |
| Age / Gender: | 53 Yrs / Female |
| Mobile: | 01774978485 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-26-0827 |
| Billing Date: | 25-09-2026 09:55 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Lipid Profile | 1,400.00 |
| 2 | TSH | 1,000.00 |
| 3 | Red Tube | 30.00 |
| 4 | Collection Set | 25.00 |
| Subtotal: | 2,455.00 BDT |
| Discount: | - 855.00 BDT |
| Grand Total: | 2,455.00 BDT |
| Money Received (Paid): | 1,600.00 BDT |
Patient / Guardian Signature
Authorized Signature