JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Faruk Hossain |
| Age / Gender: | 42 Yrs / Male |
| Mobile: | 01723550743 |
| Address: | Shahpur,jamalpur) |
| Invoice No: | LAB-26-1361 |
| Billing Date: | 31-10-2026 01:06 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamsur Rahman MBBS.BCS.(Health) FCPS (Surgery)
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Blood Group &Rh Factor | 100.00 |
| 2 | CBC | 500.00 |
| 3 | Random Blood Sugar | 150.00 |
| 4 | Hbs Ag | 500.00 |
| 5 | S.Creatinine | 500.00 |
| 6 | S. Bilirubin Total | 500.00 |
| 7 | SGPT | 600.00 |
| 8 | CXR P/A | 700.00 |
| 9 | ECG | 500.00 |
| 10 | TSH | 1,000.00 |
| 11 | Collection Set | 25.00 |
| 12 | Edta Tube | 30.00 |
| Subtotal: | 5,105.00 BDT |
| Discount: | - 2,105.00 BDT |
| Grand Total: | 5,105.00 BDT |
| Money Received (Paid): | 3,000.00 BDT |
Patient / Guardian Signature
Authorized Signature