JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ety |
| Age / Gender: | 20 Yrs / Female |
| Mobile: | 01603750515 |
| Address: | Mesta |
| Invoice No: | LAB-26-1109 |
| Billing Date: | 12-10-2026 04:07 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray KUB Region | 700.00 |
| Subtotal: | 700.00 BDT |
| Discount: | - 200.00 BDT |
| Grand Total: | 500.00 BDT |
| Money Received (Paid): | 500.00 BDT |
Patient / Guardian Signature
Authorized Signature