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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: md selim
Age / Gender: 50 Yrs / Male
Mobile: 01750474147
Address: Titpalla
Invoice No: LAB-2026-0016
Billing Date: 01-08-2026 05:12 PM
Patient Type: Indoor
Cabin/Ward: 1025/204/1
Ref. Doctor: Dr. Md. Shamim Reza
Ref. Patient: md
SL Test Name Price (BDT)
1 CBC 500.00
Subtotal: 500.00 BDT
Discount: - 150.00 BDT
Grand Total: 350.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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