JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Happy |
| Age / Gender: | 30 Yrs / Female |
| Mobile: | 01962560332 |
| Address: | Titpolla jamalpur |
| Invoice No: | LAB-26-1262 |
| Billing Date: | 23-10-2026 01:46 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hb% | 200.00 |
| 2 | Urine for R/M/E | 300.00 |
| 3 | Random Blood Sugar | 150.00 |
| 4 | Pelvic Organ | 1,200.00 |
| 5 | Urine pot | 25.00 |
| 6 | Red Tube | 30.00 |
| 7 | Collection Set | 25.00 |
| Subtotal: | 1,930.00 BDT |
| Discount: | - 430.00 BDT |
| Grand Total: | 1,500.00 BDT |
| Money Received (Paid): | 1,500.00 BDT |
Patient / Guardian Signature
Authorized Signature