JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Maria |
| Age / Gender: | 16 Yrs / Female |
| Mobile: | 01719648222 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1384 |
| Billing Date: | 02-11-2026 06:27 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mahmud Hosen Nasim MBBS,BCS,(Health) MD (cardiology) CCD Bardem
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | ECG | 500.00 |
| 3 | Hbs Ag | 500.00 |
| 4 | SGPT | 600.00 |
| 5 | USG Whole Abdomen | 1,500.00 |
| 6 | Collection Set | 25.00 |
| 7 | Edta Tube | 30.00 |
| Subtotal: | 3,655.00 BDT |
| Discount: | - 1,455.00 BDT |
| Grand Total: | 3,655.00 BDT |
| Money Received (Paid): | 2,200.00 BDT |
Patient / Guardian Signature
Authorized Signature