JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Samia |
| Age / Gender: | 20 Yrs / Female |
| Mobile: | 01 |
| Address: | N/A |
| Invoice No: | LAB-26-0873 |
| Billing Date: | 27-09-2026 09:55 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Ot Charge bill | 14,000.00 |
| 2 | Medicine Bill | 5,700.00 |
| 3 | seat rent | 3,000.00 |
| 4 | Sarvice charge | 3,000.00 |
| Subtotal: | 25,700.00 BDT |
| Discount: | - 10,700.00 BDT |
| Grand Total: | 25,700.00 BDT |
| Money Received (Paid): | 15,000.00 BDT |
Patient / Guardian Signature
Authorized Signature