JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Mowsumi |
| Age / Gender: | 27 Yrs / Female |
| Mobile: | 01729555923 |
| Address: | Titpalla |
| Invoice No: | LAB-26-0985 |
| Billing Date: | 03-10-2026 02:47 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | USG Lower Abdomen | 1,200.00 |
| 3 | Collection Set | 25.00 |
| 4 | Red Tube | 30.00 |
| 5 | Edta Tube | 30.00 |
| Subtotal: | 1,785.00 BDT |
| Discount: | - 335.00 BDT |
| Grand Total: | 1,785.00 BDT |
| Money Received (Paid): | 1,450.00 BDT |
Patient / Guardian Signature
Authorized Signature