JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Sumaiya |
| Age / Gender: | 25 Yrs / Female |
| Mobile: | 01754741634 |
| Address: | Titpalla |
| Invoice No: | LAB-26-0971 |
| Billing Date: | 02-10-2026 04:42 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Rumana Afroz MBBS.BCS.(Health) FCPS Gyne
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hb% | 200.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | Hbs Ag | 500.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| Subtotal: | 1,405.00 BDT |
| Discount: | - 555.00 BDT |
| Grand Total: | 850.00 BDT |
| Money Received (Paid): | 850.00 BDT |
Patient / Guardian Signature
Authorized Signature