JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ojufa Begum |
| Age / Gender: | 55 Yrs / Female |
| Mobile: | 01326542616 |
| Address: | Getpar,jamalpur |
| Invoice No: | LAB-26-1173 |
| Billing Date: | 18-10-2026 12:42 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
dr.Jubayer Zajbi.MBBS(Dhaka)
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | Electrolytes | 1,200.00 |
| 4 | Urine for R/M/E | 300.00 |
| 5 | CXR P/A | 700.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| 8 | Urine pot | 25.00 |
| Subtotal: | 3,280.00 BDT |
| Discount: | - 80.00 BDT |
| Grand Total: | 3,200.00 BDT |
| Money Received (Paid): | 3,200.00 BDT |
Patient / Guardian Signature
Authorized Signature