JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shah Alam |
| Age / Gender: | 40 Yrs / Male |
| Mobile: | 01312458057 |
| Address: | bokshigonj |
| Invoice No: | LAB-26-1023 |
| Billing Date: | 06-10-2026 01:50 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | S.Creatinine | 500.00 |
| 2 | USG KUB Region | 1,200.00 |
| 3 | Collection Set | 25.00 |
| 4 | Edta Tube | 30.00 |
| Subtotal: | 1,755.00 BDT |
| Discount: | - 455.00 BDT |
| Grand Total: | 1,300.00 BDT |
| Money Received (Paid): | 1,300.00 BDT |
Patient / Guardian Signature
Authorized Signature