JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Tofazzol |
| Age / Gender: | 45 Yrs / Male |
| Mobile: | 01 |
| Address: | N/A |
| Invoice No: | LAB-26-0912 |
| Billing Date: | 28-09-2026 08:08 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Renessa Hospital
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | S.Creatinine | 500.00 |
| 2 | Collection Set | 25.00 |
| 3 | Edta Tube | 30.00 |
| Subtotal: | 555.00 BDT |
| Discount: | - 275.00 BDT |
| Grand Total: | 280.00 BDT |
| Money Received (Paid): | 280.00 BDT |
Patient / Guardian Signature
Authorized Signature