JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Mousumi |
| Age / Gender: | 27 Yrs / Female |
| Mobile: | 01729555923 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1024 |
| Billing Date: | 06-10-2026 04:45 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Dil Afrose Nisha MBBS (DU).BCS (Health) FCPS (Gynae&Obs)
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Urine for R/M/E | 300.00 |
| 2 | Urine pt | 200.00 |
| 3 | X-Ray KUB Region | 700.00 |
| 4 | USG Lower Abdomen | 1,200.00 |
| 5 | Edta Tube | 30.00 |
| 6 | Collection Set | 25.00 |
| 7 | Red Tube | 30.00 |
| 8 | Urine pot | 25.00 |
| Subtotal: | 2,510.00 BDT |
| Discount: | - 10.00 BDT |
| Grand Total: | 2,510.00 BDT |
| Money Received (Paid): | 2,500.00 BDT |
Patient / Guardian Signature
Authorized Signature