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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: saffsa
Age / Gender: 44 Yrs / Female
Mobile: 35535
Address: dddd
Invoice No: LAB-2026-0032
Billing Date: 01-08-2026 10:39 PM
Patient Type: Indoor
Cabin/Ward: 442
Ref. Doctor: Dr. Md. Shamim Reza
Ref. Patient: ddd
SL Test Name Price (BDT)
1 S. Alk. Phosphate 1,000.00
2 Discharge Fluid C/S 1,000.00
Subtotal: 2,000.00 BDT
Discount: - 50.00 BDT
Grand Total: 1,950.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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