JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Md.Mahfujur Rahman |
| Age / Gender: | 52 Yrs / Male |
| Mobile: | 01711487353 |
| Address: | Getpar,jamalpur |
| Invoice No: | LAB-26-1135 |
| Billing Date: | 14-10-2026 11:28 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CXR P/A | 700.00 |
| 2 | ECG | 500.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | Collection Set | 25.00 |
| 5 | Edta Tube | 30.00 |
| 6 | Urine pot | 25.00 |
| Subtotal: | 1,580.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 1,580.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 1,580.00 BDT |
Patient / Guardian Signature
Authorized Signature