JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Ronju |
| Age / Gender: | 40 Yrs / Female |
| Mobile: | 01316803745 |
| Address: | N/A |
| Invoice No: | LAB-26-1367 |
| Billing Date: | 01-11-2026 02:14 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Sinthia SACMO
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Rt wrist B/V | 900.00 |
| 2 | RA | 800.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | Edta Tube | 30.00 |
| 5 | Collection Set | 25.00 |
| Subtotal: | 2,255.00 BDT |
| Discount: | - 855.00 BDT |
| Grand Total: | 2,255.00 BDT |
| Money Received (Paid): | 1,400.00 BDT |
Patient / Guardian Signature
Authorized Signature