JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Jinan |
| Age / Gender: | 22 Yrs / Female |
| Mobile: | 01715019310 |
| Address: | baipas |
| Invoice No: | LAB-26-1112 |
| Billing Date: | 12-10-2026 05:58 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | USG Lower Abdomen | 1,200.00 |
| 2 | Urine for R/M/E | 300.00 |
| 3 | Urine pot | 25.00 |
| Subtotal: | 1,525.00 BDT |
| Discount: | - 525.00 BDT |
| Grand Total: | 1,525.00 BDT |
| Money Received (Paid): | 1,000.00 BDT |
Patient / Guardian Signature
Authorized Signature