JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Arifa |
| Age / Gender: | 20 Yrs / Female |
| Mobile: | 01 |
| Address: | N/A |
| Invoice No: | LAB-26-1043 |
| Billing Date: | 09-10-2026 09:17 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | ot charge bill | 9,000.00 |
| 2 | medicine bill b | 1,800.00 |
| 3 | Sarvice charge | 3,000.00 |
| Subtotal: | 13,800.00 BDT |
| Discount: | - 8,800.00 BDT |
| Grand Total: | 13,800.00 BDT |
| Money Received (Paid): | 5,000.00 BDT |
Patient / Guardian Signature
Authorized Signature