JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Momta |
| Age / Gender: | 50 Yrs / Female |
| Mobile: | 01405656601 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1129 |
| Billing Date: | 13-10-2026 12:39 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Robiul Islam Roni MBBS.DLU.ENT,BSMMU
Ref. Patient:
Dr.Salim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | TSH | 1,000.00 |
| 4 | FT4 | 1,500.00 |
| Subtotal: | 3,150.00 BDT |
| Discount: | - 1,250.00 BDT |
| Grand Total: | 1,900.00 BDT |
| Money Received (Paid): | 1,900.00 BDT |
Patient / Guardian Signature
Authorized Signature