JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Amir Hossain |
| Age / Gender: | 61 Yrs / Male |
| Mobile: | 01792887232 |
| Address: | Shorishabari,jamalpur |
| Invoice No: | LAB-26-1459 |
| Billing Date: | 07-11-2026 05:55 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
Firoz Mia
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | X-ray LT Foot B/V | 1,400.00 |
| 4 | Red Tube | 30.00 |
| 5 | Collection Set | 25.00 |
| Subtotal: | 2,105.00 BDT |
| Discount: | - 805.00 BDT |
| Grand Total: | 2,105.00 BDT |
| Money Received (Paid): | 1,300.00 BDT |
Patient / Guardian Signature
Authorized Signature