JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Rebeka Sultana |
| Age / Gender: | 70 Yrs / Female |
| Mobile: | 017 |
| Address: | jamalpur |
| Invoice No: | LAB-26-1402 |
| Billing Date: | 04-11-2026 03:43 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
Dr.Shamim Reza
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | L/S Spine A/P | 900.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | Random Blood Sugar | 150.00 |
| 4 | Edta Tube | 30.00 |
| 5 | Red Tube | 30.00 |
| 6 | Collection Set | 25.00 |
| Subtotal: | 1,635.00 BDT |
| Discount: | - 535.00 BDT |
| Grand Total: | 1,635.00 BDT |
| Money Received (Paid): | 1,100.00 BDT |
Patient / Guardian Signature
Authorized Signature