JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Forhad Hossain |
| Age / Gender: | 25 Yrs / Male |
| Mobile: | 01926971203 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-26-0844 |
| Billing Date: | 25-09-2026 12:54 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient:
Faruk marketing
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Random Blood Sugar | 150.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | ECG | 500.00 |
| 4 | TSH | 1,000.00 |
| 5 | PNS B/V | 1,400.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| 8 | Urine for R/M/E | 300.00 |
| Subtotal: | 3,905.00 BDT |
| Discount: | - 1,505.00 BDT |
| Grand Total: | 3,905.00 BDT |
| Money Received (Paid): | 2,400.00 BDT |
Patient / Guardian Signature
Authorized Signature