JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Suraiya |
| Age / Gender: | 45 Yrs / Female |
| Mobile: | 01743232411 |
| Address: | Baipas,jamalpur |
| Invoice No: | LAB-26-0962 |
| Billing Date: | 02-10-2026 10:05 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CXR P/A | 700.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | Hbs Ag | 500.00 |
| 4 | ECG | 500.00 |
| 5 | Red Tube | 30.00 |
| 6 | Collection Set | 25.00 |
| 7 | Admission Fee | 200.00 |
| Subtotal: | 2,455.00 BDT |
| Discount: | - 755.00 BDT |
| Grand Total: | 1,700.00 BDT |
| Money Received (Paid): | 1,700.00 BDT |
Patient / Guardian Signature
Authorized Signature