JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Mahfuja |
| Age / Gender: | 35 Yrs / Female |
| Mobile: | 01765828990 |
| Address: | Hajipur,jamalpur |
| Invoice No: | LAB-26-0998 |
| Billing Date: | 04-10-2026 04:13 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | CXR P/A | 700.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | X-Ray KUB Region | 700.00 |
| 5 | Red Tube | 30.00 |
| 6 | Edta Tube | 30.00 |
| 7 | Collection Set | 25.00 |
| Subtotal: | 2,485.00 BDT |
| Discount: | - 1,485.00 BDT |
| Grand Total: | 2,485.00 BDT |
| Money Received (Paid): | 1,500.00 BDT |
Patient / Guardian Signature
Authorized Signature