JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | China |
| Age / Gender: | 35 Yrs / Female |
| Mobile: | 01770122457 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1064 |
| Billing Date: | 09-10-2026 12:18 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | CXR P/A | 700.00 |
| 4 | ECG | 500.00 |
| 5 | USG Whole Abdomen | 1,500.00 |
| 6 | Widal Test | 700.00 |
| 7 | Dengue Ns1 | 900.00 |
| 8 | Collection Set | 25.00 |
| 9 | Edta Tube | 30.00 |
| Subtotal: | 5,005.00 BDT |
| Discount: | - 1,605.00 BDT |
| Grand Total: | 5,005.00 BDT |
| Money Received (Paid): | 3,400.00 BDT |
Patient / Guardian Signature
Authorized Signature