JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Hosneara |
| Age / Gender: | 65 Yrs / Female |
| Mobile: | 00 |
| Address: | Muslimsbad |
| Invoice No: | LAB-26-1465 |
| Billing Date: | 08-11-2026 02:49 PM |
| Patient Type: | Indoor |
| Cabin/Ward: | 1025 (204) |
Ref. Doctor:
Self
Ref. Patient:
Akram Assist
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | S.Creatinine | 500.00 |
| 2 | Red Tube | 30.00 |
| 3 | Collection Set | 25.00 |
| Subtotal: | 555.00 BDT |
| Discount: | - 0.00 BDT |
| Grand Total: | 555.00 BDT |
| Money Received (Paid): | 0.00 BDT |
| Due: | 555.00 BDT |
Patient / Guardian Signature
Authorized Signature