JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Sarmin |
| Age / Gender: | 23 Yrs / Female |
| Mobile: | 01 |
| Address: | Madergonj |
| Invoice No: | LAB-26-1192 |
| Billing Date: | 19-10-2026 06:36 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mahmud Hosen Nasim MBBS,BCS,(Health) MD (cardiology) CCD Bardem
Ref. Patient:
Dilip Modok
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Collection Set | 25.00 |
| 3 | Edta Tube | 30.00 |
| Subtotal: | 555.00 BDT |
| Discount: | - 155.00 BDT |
| Grand Total: | 400.00 BDT |
| Money Received (Paid): | 400.00 BDT |
Patient / Guardian Signature
Authorized Signature