JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Tuanu Sahara |
| Age / Gender: | 22 Yrs / Female |
| Mobile: | 01946535840 |
| Address: | baipas |
| Invoice No: | LAB-26-1225 |
| Billing Date: | 21-10-2026 10:45 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Fasting Blood sugar | 150.00 |
| 2 | 2 hrsABF | 250.00 |
| 3 | Edta Tube | 30.00 |
| 4 | Collection Set | 25.00 |
| Subtotal: | 455.00 BDT |
| Discount: | - 105.00 BDT |
| Grand Total: | 455.00 BDT |
| Money Received (Paid): | 350.00 BDT |
Patient / Guardian Signature
Authorized Signature