JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Samiul(Laily) |
| Age / Gender: | 25 Yrs / Male |
| Mobile: | 01707519012 |
| Address: | Nandina,jamalpur |
| Invoice No: | LAB-26-1245 |
| Billing Date: | 22-10-2026 02:39 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr.Shamim Reza
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hbs Ag | 500.00 |
| Subtotal: | 500.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 500.00 BDT |
| Money Received (Paid): | 500.00 BDT |
Patient / Guardian Signature
Authorized Signature