JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Helena |
| Age / Gender: | 45 Yrs / Female |
| Mobile: | 01784814442 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1260 |
| Billing Date: | 23-10-2026 12:35 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Robiul Islam Roni MBBS.DLU.ENT,BSMMU
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | TSH | 1,000.00 |
| 2 | FT4 | 1,500.00 |
| 3 | CBC | 500.00 |
| 4 | Random Blood Sugar | 150.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| Subtotal: | 3,205.00 BDT |
| Discount: | - 605.00 BDT |
| Grand Total: | 3,205.00 BDT |
| Money Received (Paid): | 2,600.00 BDT |
Patient / Guardian Signature
Authorized Signature