JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Samiron |
| Age / Gender: | 50 Yrs / Female |
| Mobile: | 01 |
| Address: | baipas |
| Invoice No: | LAB-26-1139 |
| Billing Date: | 14-10-2026 02:44 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray Hip Joint B/ View | 1,400.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | Uric Acid | 600.00 |
| 4 | Random Blood Sugar | 150.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| Subtotal: | 2,705.00 BDT |
| Discount: | - 905.00 BDT |
| Grand Total: | 2,705.00 BDT |
| Money Received (Paid): | 1,800.00 BDT |
Patient / Guardian Signature
Authorized Signature