JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Abida |
| Age / Gender: | 65 Yrs / Female |
| Mobile: | 01961680911 |
| Address: | bokshigonj |
| Invoice No: | LAB-26-1106 |
| Billing Date: | 12-10-2026 09:51 AM |
| Patient Type: | Indoor |
| Cabin/Ward: | 1025 (202) |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Electrolytes | 1,200.00 |
| Subtotal: | 1,200.00 BDT |
| Discount: | - 200.00 BDT |
| Grand Total: | 1,200.00 BDT |
| Money Received (Paid): | 1,000.00 BDT |
Patient / Guardian Signature
Authorized Signature