JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Forhad |
| Age / Gender: | 65 Yrs / Male |
| Mobile: | 01787380397 |
| Address: | baipas |
| Invoice No: | LAB-26-1249 |
| Billing Date: | 22-10-2026 03:31 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Sinthia SACMO
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | ICT Dengue | 800.00 |
| 3 | Random Blood Sugar | 150.00 |
| 4 | Collection Set | 25.00 |
| 5 | Edta Tube | 30.00 |
| Subtotal: | 1,505.00 BDT |
| Discount: | - 705.00 BDT |
| Grand Total: | 1,505.00 BDT |
| Money Received (Paid): | 800.00 BDT |
Patient / Guardian Signature
Authorized Signature