JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shimul |
| Age / Gender: | 16 Yrs / Male |
| Mobile: | 01931520104 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1366 |
| Billing Date: | 31-10-2026 09:45 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Lt Ankle joint B/V | 1,400.00 |
| Subtotal: | 1,400.00 BDT |
| Discount: | - 400.00 BDT |
| Grand Total: | 1,000.00 BDT |
| Money Received (Paid): | 1,000.00 BDT |
Patient / Guardian Signature
Authorized Signature