JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Momota |
| Age / Gender: | 50 Yrs / Female |
| Mobile: | 01750474147 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1209 |
| Billing Date: | 20-10-2026 12:20 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Robiul Islam Roni MBBS.DLU.ENT,BSMMU
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | BT,CT | 400.00 |
| 2 | Hbs Ag | 500.00 |
| 3 | Blood Group &Rh Factor | 100.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | ECG | 500.00 |
| Subtotal: | 2,000.00 BDT |
| Discount: | - 800.00 BDT |
| Grand Total: | 2,000.00 BDT |
| Money Received (Paid): | 1,200.00 BDT |
Patient / Guardian Signature
Authorized Signature