JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Shifa |
| Age / Gender: | 28 Yrs / Female |
| Mobile: | 01912172122 |
| Address: | baipas |
| Invoice No: | LAB-26-1379 |
| Billing Date: | 02-11-2026 03:26 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | X-ray LT Foot B/V | 1,400.00 |
| 2 | Uric Acid | 600.00 |
| 3 | Collection Set | 25.00 |
| 4 | Edta Tube | 30.00 |
| Subtotal: | 2,055.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 2,055.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 2,055.00 BDT |
Patient / Guardian Signature
Authorized Signature