JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Md.Moniruzzaman |
| Age / Gender: | 56 Yrs / Male |
| Mobile: | 01774978485 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-26-0828 |
| Billing Date: | 25-09-2026 09:58 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Lipid Profile | 1,400.00 |
| 2 | Fasting Blood sugar | 150.00 |
| 3 | Collection Set | 25.00 |
| 4 | Red Tube | 30.00 |
| Subtotal: | 1,605.00 BDT |
| Discount: | - 605.00 BDT |
| Grand Total: | 1,605.00 BDT |
| Money Received (Paid): | 1,000.00 BDT |
Patient / Guardian Signature
Authorized Signature