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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Manosi
Age / Gender: 20 Yrs / Female
Mobile: 01
Address: Madergonj
Invoice No: LAB-2026-0052
Billing Date: 03-08-2026 11:10 PM
Patient Type: Outdoor
Ref. Doctor: Dr. Mahmud Hossain Nasim
Ref. Patient: shahin
SL Test Name Price (BDT)
1 lpt 900.00
2 X-Ray Arm / Forarm B/ View 800.00
Subtotal: 1,700.00 BDT
Discount: - 200.00 BDT
Grand Total: 1,500.00 BDT
Money Received (Paid): 500.00 BDT
Due: 1,000.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
DUE
Patient / Guardian Signature
Authorized Signature
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