JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Deluara |
| Age / Gender: | 40 Yrs / Female |
| Mobile: | 01 |
| Address: | baipas |
| Invoice No: | LAB-26-0939 |
| Billing Date: | 30-09-2026 03:12 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-ray LT Leg B/V | 1,400.00 |
| Subtotal: | 1,400.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 1,400.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 1,400.00 BDT |
Patient / Guardian Signature
Authorized Signature