JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Phulchan |
| Age / Gender: | 35 Yrs / Male |
| Mobile: | 01717334705 |
| Address: | Islampur |
| Invoice No: | LAB-26-1327 |
| Billing Date: | 29-10-2026 03:11 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | Urine for R/M/E | 300.00 |
| 4 | X-Ray Cervical Spine latteral view | 900.00 |
| 5 | X-Ray Pelvic A/P | 900.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| 8 | Urine pot | 25.00 |
| Subtotal: | 3,180.00 BDT |
| Discount: | - 1,230.00 BDT |
| Grand Total: | 3,180.00 BDT |
| Money Received (Paid): | 1,950.00 BDT |
Patient / Guardian Signature
Authorized Signature