JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Tripte |
| Age / Gender: | 20 Yrs / Female |
| Mobile: | 01604030372 |
| Address: | jamalpur |
| Invoice No: | LAB-26-1282 |
| Billing Date: | 25-10-2026 03:37 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamsur Rahman MBBS.BCS.(Health) FCPS (Surgery)
Ref. Patient:
Shahin
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CRP | 800.00 |
| 2 | CBC | 500.00 |
| 3 | Edta Tube | 30.00 |
| 4 | Red Tube | 30.00 |
| 5 | Collection Set | 25.00 |
| Subtotal: | 1,385.00 BDT |
| Discount: | - 585.00 BDT |
| Grand Total: | 1,385.00 BDT |
| Money Received (Paid): | 800.00 BDT |
Patient / Guardian Signature
Authorized Signature