JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shamim |
| Age / Gender: | 40 Yrs / Male |
| Mobile: | 01 |
| Address: | N/A |
| Invoice No: | LAB-26-1263 |
| Billing Date: | 23-10-2026 02:35 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | ECG | 500.00 |
| 2 | CXR P/A | 700.00 |
| Subtotal: | 1,200.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 1,200.00 BDT |
| Money Received (Paid): | 400.00 BDT |
| Due: | 800.00 BDT |
Patient / Guardian Signature
Authorized Signature