JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Firuz Mia |
| Age / Gender: | 40 Yrs / Male |
| Mobile: | 01 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-26-1094 |
| Billing Date: | 10-10-2026 04:07 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamsur Rahman MBBS.BCS.(Health) FCPS (Surgery)
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | Hbs Ag | 500.00 |
| 4 | Collection Set | 25.00 |
| 5 | Edta Tube | 30.00 |
| Subtotal: | 1,205.00 BDT |
| Discount: | - 455.00 BDT |
| Grand Total: | 1,205.00 BDT |
| Money Received (Paid): | 750.00 BDT |
Patient / Guardian Signature
Authorized Signature