JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Abdul Hai |
| Age / Gender: | 45 Yrs / Male |
| Mobile: | 01722015770 |
| Address: | shahbajpur,jamalpur |
| Invoice No: | LAB-26-1145 |
| Billing Date: | 14-10-2026 04:06 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Nur Nobi Siddique MBBS,CCD,BCS FCPS Surgery
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | ECG | 500.00 |
| 3 | CXR P/A | 700.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | Random Blood Sugar | 150.00 |
| 6 | HBA1c | 1,200.00 |
| 7 | Hbs Ag | 500.00 |
| 8 | Blood Group &Rh Factor | 100.00 |
| 9 | USG Whole Abdomen | 1,500.00 |
| 10 | USG OF Scrotum | 2,500.00 |
| 11 | Collection Set | 25.00 |
| 12 | Edta Tube | 30.00 |
| Subtotal: | 8,205.00 BDT |
| Discount: | - 1,705.00 BDT |
| Grand Total: | 6,500.00 BDT |
| Money Received (Paid): | 6,500.00 BDT |
Patient / Guardian Signature
Authorized Signature