JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shifa |
| Age / Gender: | 28 Yrs / Female |
| Mobile: | 01713537002 |
| Address: | baipas |
| Invoice No: | LAB-26-0878 |
| Billing Date: | 27-09-2026 11:47 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-ray LT Foot B/V | 1,400.00 |
| Subtotal: | 1,400.00 BDT |
| Discount: | - 600.00 BDT |
| Grand Total: | 1,400.00 BDT |
| Money Received (Paid): | 800.00 BDT |
Patient / Guardian Signature
Authorized Signature