JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Mrs Salma- |
| Age / Gender: | 37 Yrs / Female |
| Mobile: | 01937140367 |
| Address: | N/A |
| Invoice No: | LAB-26-1272 |
| Billing Date: | 24-10-2026 02:32 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-Ray Dorsal Spine B/ View | 1,200.00 |
| 2 | RA | 800.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | Random Blood Sugar | 150.00 |
| Subtotal: | 2,650.00 BDT |
| Discount: | - 800.00 BDT |
| Grand Total: | 2,650.00 BDT |
| Money Received (Paid): | 1,850.00 BDT |
Patient / Guardian Signature
Authorized Signature