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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: ddda
Age / Gender: 532 Yrs / Male
Mobile: 45235
Address: sadAD
Invoice No: LAB-2026-0041
Billing Date: 02-08-2026 01:43 AM
Patient Type: Outdoor
Ref. Doctor: Dr. Md. Shamim Reza
Ref. Patient: scdsc
SL Test Name Price (BDT)
1 S. Alk. Phosphate 1,000.00
Subtotal: 1,000.00 BDT
Discount: - 0.00 BDT
Grand Total: 1,000.00 BDT
Money Received (Paid): 200.00 BDT
Due: 800.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
DUE
Patient / Guardian Signature
Authorized Signature
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