JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rupa |
| Age / Gender: | 35 Yrs / Female |
| Mobile: | 01869234473 |
| Address: | Hashil bot tola,jamalpur |
| Invoice No: | LAB-26-1020 |
| Billing Date: | 06-10-2026 12:05 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Sinthia SACMO
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Urine for R/M/E | 300.00 |
| 2 | S.Creatinine | 500.00 |
| Subtotal: | 800.00 BDT |
| Discount: | - 300.00 BDT |
| Grand Total: | 500.00 BDT |
| Money Received (Paid): | 500.00 BDT |
Patient / Guardian Signature
Authorized Signature