JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Fatema |
| Age / Gender: | 70 Yrs / Female |
| Mobile: | 0199136917 |
| Address: | Mesta |
| Invoice No: | LAB-26-1162 |
| Billing Date: | 17-10-2026 02:00 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Sinthia SACMO
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | X-Ray Mastoids Twins View | 1,400.00 |
| 5 | Edta Tube | 30.00 |
| 6 | Red Tube | 30.00 |
| 7 | Collection Set | 25.00 |
| Subtotal: | 2,635.00 BDT |
| Discount: | - 1,035.00 BDT |
| Grand Total: | 1,600.00 BDT |
| Money Received (Paid): | 1,600.00 BDT |
Patient / Guardian Signature
Authorized Signature