JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Monika |
| Age / Gender: | 34 Yrs / Female |
| Mobile: | 01648137756 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1308 |
| Billing Date: | 27-10-2026 05:58 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Dil Afrose Nisha MBBS (DU).BCS (Health) FCPS (Gynae&Obs)
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | TSH | 1,000.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | Random Blood Sugar | 150.00 |
| 5 | CRP | 800.00 |
| 6 | Lumber spin B/V | 1,200.00 |
| 7 | USG Lower Abdomen | 1,200.00 |
| 8 | Collection Set | 25.00 |
| 9 | Edta Tube | 30.00 |
| Subtotal: | 5,405.00 BDT |
| Discount: | - 2,155.00 BDT |
| Grand Total: | 5,405.00 BDT |
| Money Received (Paid): | 3,250.00 BDT |
Patient / Guardian Signature
Authorized Signature