JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Nur a Alom |
| Age / Gender: | 88 Yrs / Male |
| Mobile: | 01 |
| Address: | baipas |
| Invoice No: | LAB-26-1298 |
| Billing Date: | 26-10-2026 06:34 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mahmud Hosen Nasim MBBS,BCS,(Health) MD (cardiology) CCD Bardem
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | ECG | 500.00 |
| 2 | CRP | 800.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | Collection Set | 25.00 |
| 5 | Edta Tube | 30.00 |
| 6 | Urine pot | 25.00 |
| Subtotal: | 1,680.00 BDT |
| Discount: | - 830.00 BDT |
| Grand Total: | 1,680.00 BDT |
| Money Received (Paid): | 850.00 BDT |
Patient / Guardian Signature
Authorized Signature