JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Sima |
| Age / Gender: | 25 Yrs / Female |
| Mobile: | 01711487353 |
| Address: | pingolhati,jamalpur |
| Invoice No: | LAB-26-1121 |
| Billing Date: | 12-10-2026 10:40 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | OT Bill Paid | 17,000.00 |
| Subtotal: | 17,000.00 BDT |
| Discount: | - 1,000.00 BDT |
| Grand Total: | 16,000.00 BDT |
| Money Received (Paid): | 16,000.00 BDT |
Patient / Guardian Signature
Authorized Signature