JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Amir Hamza |
| Age / Gender: | 40 Yrs / Male |
| Mobile: | 01 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-26-1292 |
| Billing Date: | 26-10-2026 02:42 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Local Ot charge | 4,000.00 |
| Subtotal: | 4,000.00 BDT |
| Discount: | - 2,000.00 BDT |
| Grand Total: | 2,000.00 BDT |
| Money Received (Paid): | 2,000.00 BDT |
Patient / Guardian Signature
Authorized Signature