JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Bipul(yakub Ali 60y) |
| Age / Gender: | 22 Yrs / Male |
| Mobile: | 01880483699 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1175 |
| Billing Date: | 18-10-2026 01:11 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hbs Ag | 500.00 |
| Subtotal: | 500.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 500.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 500.00 BDT |
Patient / Guardian Signature
Authorized Signature