JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Fuli |
| Age / Gender: | 55 Yrs / Female |
| Mobile: | 01 |
| Address: | Titpalla |
| Invoice No: | LAB-26-0897 |
| Billing Date: | 28-09-2026 03:06 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | S.Creatinine | 500.00 |
| 2 | Urine for R/M/E | 300.00 |
| 3 | Urine pot | 25.00 |
| 4 | Collection Set | 25.00 |
| 5 | Edta Tube | 30.00 |
| Subtotal: | 880.00 BDT |
| Discount: | - 290.00 BDT |
| Grand Total: | 880.00 BDT |
| Money Received (Paid): | 590.00 BDT |
Patient / Guardian Signature
Authorized Signature