JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ehsa Tambuly |
| Age / Gender: | 8 Yrs / Female |
| Mobile: | 01893732690 |
| Address: | Titpalla kamal khan |
| Invoice No: | LAB-26-1353 |
| Billing Date: | 30-10-2026 01:18 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Dengue Ns1 | 900.00 |
| 2 | Widal Test | 700.00 |
| Subtotal: | 1,600.00 BDT |
| Discount: | - 200.00 BDT |
| Grand Total: | 1,400.00 BDT |
| Money Received (Paid): | 900.00 BDT |
| Due: | 500.00 BDT |
Patient / Guardian Signature
Authorized Signature