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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: ddd
Age / Gender: 3 Yrs / Male
Mobile: 33
Address: N/A
Invoice No: LAB-2026-0054
Billing Date: 03-08-2026 11:27 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: N/A
SL Test Name Price (BDT)
1 Bilirubin Direct / Indirect 800.00
2 X-Ray Cervical Spine B/ View 1,000.00
3 S. Alk. Phosphate 1,000.00
4 Hbs Ag 500.00
5 Blood Group &Rh Factor 100.00
6 Discharge Fluid C/S 1,000.00
7 Anti-CCP 3,000.00
8 CT Scan of Whole Abdomen 12,000.00
9 Urine for C/S 1,000.00
Subtotal: 20,400.00 BDT
Discount: - 0.00 BDT
Grand Total: 20,400.00 BDT
Money Received (Paid): 0.00 BDT
Due: 20,400.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
DUE
Patient / Guardian Signature
Authorized Signature
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