JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Momotaz |
| Age / Gender: | 55 Yrs / Female |
| Mobile: | 01704540348 |
| Address: | pingolhati,jamalpur |
| Invoice No: | LAB-26-0840 |
| Billing Date: | 25-09-2026 12:38 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient:
Akram
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Urine for R/M/E | 300.00 |
| 3 | CXR P/A | 700.00 |
| 4 | ICT for Dengue (IgE + LgM | 900.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| 7 | Urine pot | 25.00 |
| Subtotal: | 2,480.00 BDT |
| Discount: | - 80.00 BDT |
| Grand Total: | 2,400.00 BDT |
| Money Received (Paid): | 2,400.00 BDT |
Patient / Guardian Signature
Authorized Signature