JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Firoja |
| Age / Gender: | 70 Yrs / Male |
| Mobile: | 017 |
| Address: | N/A |
| Invoice No: | LAB-26-1329 |
| Billing Date: | 29-10-2026 03:36 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | RT knee joint A/P | 900.00 |
| 2 | L/S Spine A/P | 900.00 |
| Subtotal: | 1,800.00 BDT |
| Discount: | - 700.00 BDT |
| Grand Total: | 1,800.00 BDT |
| Money Received (Paid): | 1,100.00 BDT |
Patient / Guardian Signature
Authorized Signature