JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Sajiron |
| Age / Gender: | 65 Yrs / Female |
| Mobile: | 01765828990 |
| Address: | Hajipur,jamalpur |
| Invoice No: | LAB-26-1258 |
| Billing Date: | 23-10-2026 11:14 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | CXR P/A | 700.00 |
| 3 | ECG | 500.00 |
| 4 | Widal Test | 700.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| Subtotal: | 2,455.00 BDT |
| Discount: | - 1,155.00 BDT |
| Grand Total: | 2,455.00 BDT |
| Money Received (Paid): | 1,300.00 BDT |
Patient / Guardian Signature
Authorized Signature