JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Prodip Saha |
| Age / Gender: | 56 Yrs / Male |
| Mobile: | 01750474147 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1142 |
| Billing Date: | 14-10-2026 03:12 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-ray LT Foot B/V | 1,400.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | CBC | 500.00 |
| 5 | Hbs Ag | 500.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| Subtotal: | 3,105.00 BDT |
| Discount: | - 705.00 BDT |
| Grand Total: | 3,105.00 BDT |
| Money Received (Paid): | 2,400.00 BDT |
Patient / Guardian Signature
Authorized Signature