JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Salma |
| Age / Gender: | 40 Yrs / Female |
| Mobile: | 01750474147 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1027 |
| Billing Date: | 07-10-2026 02:11 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 | Blood Group &Rh Factor | 100.00 |
| 2 | CBC | 500.00 |
| 3 | Random Blood Sugar | 150.00 |
| 4 | Hbs Ag | 500.00 |
| 5 | S.Creatinine | 500.00 |
| 6 | Admission Fee | 200.00 |
| 7 | Collection Set | 25.00 |
| 8 | Edta Tube | 30.00 |
| Subtotal: | 2,005.00 BDT |
| Discount: | - 805.00 BDT |
| Grand Total: | 2,005.00 BDT |
| Money Received (Paid): | 1,200.00 BDT |
Patient / Guardian Signature
Authorized Signature