JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Sathi |
| Age / Gender: | 35 Yrs / Female |
| Mobile: | 01324922337 |
| Address: | N/A |
| Invoice No: | LAB-26-0991 |
| Billing Date: | 04-10-2026 10:53 AM |
| Patient Type: | Indoor |
| Cabin/Ward: | 1025 (203) |
Ref. Doctor:
Self
Ref. Patient:
Azad
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hb% | 200.00 |
| 2 | Red Tube | 30.00 |
| 3 | Collection Set | 25.00 |
| Subtotal: | 255.00 BDT |
| Discount: | - 55.00 BDT |
| Grand Total: | 200.00 BDT |
| Money Received (Paid): | 200.00 BDT |
Patient / Guardian Signature
Authorized Signature