JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rubi |
| Age / Gender: | 45 Yrs / Female |
| Mobile: | 01924949050 |
| Address: | Bogurakandi |
| Invoice No: | LAB-26-0868 |
| Billing Date: | 26-09-2026 03:54 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | ECG | 500.00 |
| 5 | CXR P/A | 700.00 |
| 6 | Hbs Ag | 500.00 |
| 7 | Blood Group &Rh Factor | 100.00 |
| 8 | Red Tube | 30.00 |
| 9 | Edta Tube | 30.00 |
| 10 | Collection Set | 25.00 |
| Subtotal: | 3,035.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 3,035.00 BDT |
| Money Received (Paid): | 3,035.00 BDT |
Patient / Guardian Signature
Authorized Signature