JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Momotaz |
| Age / Gender: | 55 Yrs / Female |
| Mobile: | 01704540348 |
| Address: | baipas |
| Invoice No: | LAB-26-1055 |
| Billing Date: | 09-10-2026 11:43 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient:
Akram
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | ECG | 500.00 |
| 3 | CXR P/A | 700.00 |
| 4 | Collection Set | 25.00 |
| 5 | Edta Tube | 30.00 |
| Subtotal: | 1,755.00 BDT |
| Discount: | - 55.00 BDT |
| Grand Total: | 1,700.00 BDT |
| Money Received (Paid): | 1,700.00 BDT |
Patient / Guardian Signature
Authorized Signature