JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Momin |
| Age / Gender: | 26 Yrs / Male |
| Mobile: | 01763454161 |
| Address: | baipas |
| Invoice No: | LAB-26-1412 |
| Billing Date: | 05-11-2026 07:06 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
hp
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Blood Group &Rh Factor | 100.00 |
| 2 | Collection Set | 25.00 |
| 3 | Edta Tube | 30.00 |
| Subtotal: | 155.00 BDT |
| Discount: | - 55.00 BDT |
| Grand Total: | 100.00 BDT |
| Money Received (Paid): | 100.00 BDT |
Patient / Guardian Signature
Authorized Signature