JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Anna Katun |
| Age / Gender: | 35 Yrs / Female |
| Mobile: | 01750474147 |
| Address: | N/A |
| Invoice No: | LAB-26-1369 |
| Billing Date: | 01-11-2026 02:51 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | S. Bilirubin Total | 500.00 |
| 2 | Uric Acid | 600.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | Hbs Ag | 500.00 |
| Subtotal: | 2,100.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 2,100.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 2,100.00 BDT |
Patient / Guardian Signature
Authorized Signature