JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Momota |
| Age / Gender: | 60 Yrs / Female |
| Mobile: | 01727330211 |
| Address: | baipas |
| Invoice No: | LAB-26-1290 |
| Billing Date: | 26-10-2026 11:03 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Lt Wrist B/V | 900.00 |
| Subtotal: | 900.00 BDT |
| Discount: | - 200.00 BDT |
| Grand Total: | 700.00 BDT |
| Money Received (Paid): | 700.00 BDT |
Patient / Guardian Signature
Authorized Signature