JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rajon |
| Age / Gender: | 14 Yrs / Male |
| Mobile: | 01917798382 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1378 |
| Billing Date: | 02-11-2026 03:00 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Dr,Selim
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | Hbs Ag | 500.00 |
| 5 | CXR P/A | 700.00 |
| 6 | Blood Group &Rh Factor | 100.00 |
| 7 | Collection Set | 25.00 |
| 8 | Edta Tube | 30.00 |
| Subtotal: | 2,505.00 BDT |
| Discount: | - 1,005.00 BDT |
| Grand Total: | 2,505.00 BDT |
| Money Received (Paid): | 1,500.00 BDT |
Patient / Guardian Signature
Authorized Signature