JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Arif Hasan |
| Age / Gender: | 16 Yrs / Male |
| Mobile: | 01774978485 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-26-0829 |
| Billing Date: | 25-09-2026 11:21 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | S. Bilirubin Total | 500.00 |
| 4 | Urine for R/M/E | 300.00 |
| 5 | USG Whole Abdomen | 1,500.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| 8 | Urine pot | 25.00 |
| Subtotal: | 3,030.00 BDT |
| Discount: | - 1,030.00 BDT |
| Grand Total: | 3,030.00 BDT |
| Money Received (Paid): | 2,000.00 BDT |
Patient / Guardian Signature
Authorized Signature