JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Forhad Hossain |
| Age / Gender: | 31 Yrs / Male |
| Mobile: | 01712410547 |
| Address: | Beltia Jamalpur |
| Invoice No: | LAB-26-0977 |
| Billing Date: | 02-10-2026 07:25 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Somvob Niramoy kendra(Jusen)
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Random Blood Sugar | 150.00 |
| 2 | SGPT | 600.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | Hbs Ag | 500.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| Subtotal: | 1,805.00 BDT |
| Discount: | - 905.00 BDT |
| Grand Total: | 1,805.00 BDT |
| Money Received (Paid): | 900.00 BDT |
Patient / Guardian Signature
Authorized Signature