JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Halim |
| Age / Gender: | 50 Yrs / Male |
| Mobile: | 01736204874 |
| Address: | Titpalla |
| Invoice No: | LAB-26-1418 |
| Billing Date: | 06-11-2026 11:28 AM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient:
md
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | S.Creatinine | 500.00 |
| 4 | SGPT | 600.00 |
| 5 | Dengue Ns1 | 900.00 |
| 6 | ICT for Dengue (IgE + LgM | 900.00 |
| 7 | USG Whole Abdomen | 1,500.00 |
| 8 | Collection Set | 25.00 |
| 9 | Edta Tube | 30.00 |
| Subtotal: | 5,105.00 BDT |
| Discount: | - 1,101.00 BDT |
| Grand Total: | 5,105.00 BDT |
| Money Received (Paid): | 4,004.00 BDT |
Patient / Guardian Signature
Authorized Signature