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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Fff
Age / Gender: 55 Yrs / Male
Mobile: Ggg
Address: N/A
Invoice No: LAB-2026-0019
Billing Date: 01-08-2026 05:37 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: N/A
SL Test Name Price (BDT)
1 Blood Sugar Tests 600.00
2 Discharge Fluid C/S 1,000.00
Subtotal: 1,600.00 BDT
Discount: - 0.00 BDT
Grand Total: 1,600.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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