JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Maowa |
| Age / Gender: | 19 Yrs / Female |
| Mobile: | 01722259013 |
| Address: | tubewellpar,Jamalpur |
| Invoice No: | LAB-26-1199 |
| Billing Date: | 19-10-2026 08:29 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Mehedi/menegar
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | ICT Dengue | 800.00 |
| Subtotal: | 800.00 BDT |
| Discount: | - 400.00 BDT |
| Grand Total: | 800.00 BDT |
| Money Received (Paid): | 400.00 BDT |
Patient / Guardian Signature
Authorized Signature