JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rikta |
| Age / Gender: | 29 Yrs / Female |
| Mobile: | 01 |
| Address: | Madergonj |
| Invoice No: | LAB-26-1291 |
| Billing Date: | 26-10-2026 11:17 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Dil Afrose Nisha MBBS (DU).BCS (Health) FCPS (Gynae&Obs)
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | TSH | 1,000.00 |
| 2 | Collection Set | 25.00 |
| 3 | Edta Tube | 30.00 |
| Subtotal: | 1,055.00 BDT |
| Discount: | - 55.00 BDT |
| Grand Total: | 1,055.00 BDT |
| Money Received (Paid): | 1,000.00 BDT |
Patient / Guardian Signature
Authorized Signature