JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Forid Hossain |
| Age / Gender: | 35 Yrs / Male |
| Mobile: | 017 |
| Address: | Beltia Jamalpur |
| Invoice No: | LAB-26-1411 |
| Billing Date: | 05-11-2026 06:35 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Rt wrist B/V | 900.00 |
| Subtotal: | 900.00 BDT |
| Discount: | - 250.00 BDT |
| Grand Total: | 650.00 BDT |
| Money Received (Paid): | 650.00 BDT |
Patient / Guardian Signature
Authorized Signature