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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: ddd
Age / Gender: 44 Yrs / Male
Mobile: 444
Address: fgvdfgs
Invoice No: LAB-2026-0005
Billing Date: 01-08-2026 10:15 AM
Patient Type: Outdoor
Ref. Doctor: Dr. Md. Shamim Reza
Ref. Patient: vvfb
SL Test Name Price (BDT)
1 Discharge Fluid C/S 1,000.00
Subtotal: 1,000.00 BDT
Discount: - 33.00 BDT
Grand Total: 967.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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