JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Nasima |
| Age / Gender: | 30 Yrs / Female |
| Mobile: | 01759905859 |
| Address: | baipas |
| Invoice No: | LAB-26-1208 |
| Billing Date: | 20-10-2026 12:11 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Runu
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Urine for R/M/E | 300.00 |
| 3 | S. Bilirubin Total | 500.00 |
| 4 | Hbs Ag | 500.00 |
| 5 | TSH | 1,000.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| Subtotal: | 2,855.00 BDT |
| Discount: | - 1,155.00 BDT |
| Grand Total: | 2,855.00 BDT |
| Money Received (Paid): | 1,700.00 BDT |
Patient / Guardian Signature
Authorized Signature