JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rozina |
| Age / Gender: | 19 Yrs / Female |
| Mobile: | 01798589436 |
| Address: | N/A |
| Invoice No: | LAB-26-0864 |
| Billing Date: | 26-09-2026 02:05 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Blood Group &Rh Factor | 100.00 |
| 2 | CBC | 500.00 |
| 3 | Random Blood Sugar | 150.00 |
| 4 | Hbs Ag | 500.00 |
| 5 | S.Creatinine | 500.00 |
| Subtotal: | 1,750.00 BDT |
| Discount: | - 650.00 BDT |
| Grand Total: | 1,750.00 BDT |
| Money Received (Paid): | 1,150.00 BDT |
Patient / Guardian Signature
Authorized Signature