JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Monu |
| Age / Gender: | 60 Yrs / Male |
| Mobile: | 01717334705 |
| Address: | Islampur |
| Invoice No: | LAB-26-1328 |
| Billing Date: | 29-10-2026 03:13 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CXR P/A | 700.00 |
| Subtotal: | 700.00 BDT |
| Discount: | - 300.00 BDT |
| Grand Total: | 700.00 BDT |
| Money Received (Paid): | 400.00 BDT |
Patient / Guardian Signature
Authorized Signature