JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Hasna Hena |
| Age / Gender: | 56 Yrs / Female |
| Mobile: | 01 |
| Address: | Madergonj |
| Invoice No: | LAB-26-1385 |
| Billing Date: | 02-11-2026 06:41 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mahmud Hosen Nasim MBBS,BCS,(Health) MD (cardiology) CCD Bardem
Ref. Patient:
Dilip Modok
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Urine for R/M/E | 300.00 |
| 2 | Urine pot | 25.00 |
| Subtotal: | 325.00 BDT |
| Discount: | - 125.00 BDT |
| Grand Total: | 200.00 BDT |
| Money Received (Paid): | 200.00 BDT |
Patient / Guardian Signature
Authorized Signature