JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Md.Ekhlas |
| Age / Gender: | 18 Yrs / Male |
| Mobile: | 01712410547 |
| Address: | Somvov madokasokti niramoy kendro |
| Invoice No: | LAB-26-1374 |
| Billing Date: | 01-11-2026 04:21 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
md/Jusen
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Hbs Ag | 500.00 |
| 2 | SGPT | 600.00 |
| 3 | Random Blood Sugar | 150.00 |
| 4 | S.Creatinine | 500.00 |
| 5 | Edta Tube | 30.00 |
| 6 | Collection Set | 25.00 |
| Subtotal: | 1,805.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 1,805.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 1,805.00 BDT |
Patient / Guardian Signature
Authorized Signature