JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Roksana Riya |
| Age / Gender: | 23 Yrs / Female |
| Mobile: | 01934834146 |
| Address: | baipas |
| Invoice No: | LAB-26-1150 |
| Billing Date: | 15-10-2026 11:07 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | AMH | 4,000.00 |
| 3 | FSH | 1,500.00 |
| 4 | LH | 1,500.00 |
| 5 | S.Prolactin | 1,500.00 |
| 6 | Urine for R/M/E | 300.00 |
| 7 | Urine for C/S | 1,500.00 |
| 8 | Red Tube | 30.00 |
| 9 | Edta Tube | 30.00 |
| 10 | Collection Set | 25.00 |
| 11 | Urine pot | 25.00 |
| Subtotal: | 10,910.00 BDT |
| Discount: | - 3,310.00 BDT |
| Grand Total: | 10,910.00 BDT |
| Money Received (Paid): | 7,600.00 BDT |
Patient / Guardian Signature
Authorized Signature