JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | A.Kuddus |
| Age / Gender: | 71 Yrs / Male |
| Mobile: | 01714735414 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1189 |
| Billing Date: | 19-10-2026 05:14 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mahmud Hosen Nasim MBBS,BCS,(Health) MD (cardiology) CCD Bardem
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CXR P/A | 700.00 |
| 2 | CBC | 500.00 |
| 3 | ECG | 500.00 |
| 4 | IgE | 1,200.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| Subtotal: | 2,955.00 BDT |
| Discount: | - 955.00 BDT |
| Grand Total: | 2,955.00 BDT |
| Money Received (Paid): | 2,000.00 BDT |
Patient / Guardian Signature
Authorized Signature