JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Samina Surma |
| Age / Gender: | 58 Yrs / Female |
| Mobile: | 01 |
| Address: | baipas |
| Invoice No: | LAB-26-1093 |
| Billing Date: | 10-10-2026 03:50 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray Hip Joint B/ View | 1,400.00 |
| Subtotal: | 1,400.00 BDT |
| Discount: | - 500.00 BDT |
| Grand Total: | 900.00 BDT |
| Money Received (Paid): | 900.00 BDT |
Patient / Guardian Signature
Authorized Signature