JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Surovi |
| Age / Gender: | 25 Yrs / Female |
| Mobile: | 01620024144 |
| Address: | Nandina,jamalpur |
| Invoice No: | LAB-26-1400 |
| Billing Date: | 04-11-2026 03:07 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamsur Rahman MBBS.BCS.(Health) FCPS (Surgery)
Ref. Patient:
Akram
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Electrolytes | 1,200.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | Urine for R/M/E | 300.00 |
| 5 | Collection Set | 25.00 |
| 6 | Edta Tube | 30.00 |
| 7 | Urine pot | 25.00 |
| Subtotal: | 2,580.00 BDT |
| Discount: | - 1,080.00 BDT |
| Grand Total: | 2,580.00 BDT |
| Money Received (Paid): | 1,500.00 BDT |
Patient / Guardian Signature
Authorized Signature