JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rafi |
| Age / Gender: | 9 Yrs / Male |
| Mobile: | 01 |
| Address: | Titpalla |
| Invoice No: | LAB-26-0858 |
| Billing Date: | 26-09-2026 10:28 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | OT Bill Paid | 13,000.00 |
| Subtotal: | 13,000.00 BDT |
| Discount: | - 3,000.00 BDT |
| Grand Total: | 10,000.00 BDT |
| Money Received (Paid): | 10,000.00 BDT |
Patient / Guardian Signature
Authorized Signature