JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Kohenur |
| Age / Gender: | 50 Yrs / Female |
| Mobile: | 01711979724 |
| Address: | N/A |
| Invoice No: | LAB-26-1164 |
| Billing Date: | 17-10-2026 02:41 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Nur Nobi Siddique MBBS,CCD,BCS FCPS Surgery
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hbs Ag | 500.00 |
| 2 | CXR P/A | 700.00 |
| 3 | ECG | 500.00 |
| 4 | Admission Fee | 200.00 |
| 5 | Blood Group &Rh Factor | 100.00 |
| 6 | Edta Tube | 30.00 |
| 7 | Red Tube | 30.00 |
| 8 | Collection Set | 25.00 |
| Subtotal: | 2,085.00 BDT |
| Discount: | - 400.00 BDT |
| Grand Total: | 1,685.00 BDT |
| Money Received (Paid): | 1,685.00 BDT |
Patient / Guardian Signature
Authorized Signature