JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Komola |
| Age / Gender: | 65 Yrs / Female |
| Mobile: | 01780031988 |
| Address: | dewangonj,jamalpur |
| Invoice No: | LAB-26-1336 |
| Billing Date: | 30-10-2026 10:23 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Dr.Shamim Reza
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hb% | 200.00 |
| 2 | Fasting Blood sugar | 150.00 |
| 3 | 2 hrsABF | 250.00 |
| 4 | Collection Set | 25.00 |
| 5 | Edta Tube | 30.00 |
| Subtotal: | 655.00 BDT |
| Discount: | - 305.00 BDT |
| Grand Total: | 655.00 BDT |
| Money Received (Paid): | 350.00 BDT |
Patient / Guardian Signature
Authorized Signature