JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rubi Begum |
| Age / Gender: | 46 Yrs / Female |
| Mobile: | 01 |
| Address: | Nandina,jamalpur |
| Invoice No: | LAB-26-0938 |
| Billing Date: | 30-09-2026 02:55 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Ot Charge S | 5,000.00 |
| 2 | Cabin Charge | 4,000.00 |
| 3 | Service charge S | 5,000.00 |
| 4 | Anes.Bill S | 5,000.00 |
| 5 | Pathology paid S | 2,500.00 |
| 6 | Medicine Bill S | 5,500.00 |
| Subtotal: | 27,000.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 27,000.00 BDT |
| Money Received (Paid): | 27,000.00 BDT |
Patient / Guardian Signature
Authorized Signature