JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rowsonara |
| Age / Gender: | 60 Yrs / Female |
| Mobile: | 01706991204 |
| Address: | Kalibari,jamalpur |
| Invoice No: | LAB-26-1086 |
| Billing Date: | 10-10-2026 02:39 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | D/L Spine & Latteral view | 900.00 |
| 2 | Urine for R/M/E | 300.00 |
| 3 | Uric Acid | 600.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | Random Blood Sugar | 150.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| 8 | Urine pot | 25.00 |
| Subtotal: | 2,530.00 BDT |
| Discount: | - 530.00 BDT |
| Grand Total: | 2,530.00 BDT |
| Money Received (Paid): | 2,000.00 BDT |
Patient / Guardian Signature
Authorized Signature