JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Suraiya |
| Age / Gender: | 35 Yrs / Female |
| Mobile: | 01 |
| Address: | Madergonj |
| Invoice No: | LAB-26-1320 |
| Billing Date: | 28-10-2026 04:18 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dilip Modok
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | OT Bill Paid | 13,000.00 |
| Subtotal: | 13,000.00 BDT |
| Discount: | - 2,000.00 BDT |
| Grand Total: | 11,000.00 BDT |
| Money Received (Paid): | 11,000.00 BDT |
Patient / Guardian Signature
Authorized Signature