JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Sumi |
| Age / Gender: | 20 Yrs / Female |
| Mobile: | 01804786151 |
| Address: | baipas |
| Invoice No: | LAB-26-1380 |
| Billing Date: | 02-11-2026 03:42 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Dil Afrose Nisha MBBS (DU).BCS (Health) FCPS (Gynae&Obs)
Ref. Patient:
hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | USG Pregnancy Profile / Uterus & Adnexa | 1,000.00 |
| 2 | Urine for R/M/E | 300.00 |
| 3 | Urine pot | 25.00 |
| Subtotal: | 1,325.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 1,325.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 1,325.00 BDT |
Patient / Guardian Signature
Authorized Signature