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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: zczc
Age / Gender: 4 Yrs / Male
Mobile: 4343
Address: afdfsaf
Invoice No: LAB-2026-0081
Billing Date: 04-08-2026 01:04 AM
Patient Type: Outdoor
Ref. Doctor: Dr. Mahmud Hossain Nasim
Ref. Patient: dadafa
SL Test Name Price (BDT)
1 FT4 1,500.00
Subtotal: 1,500.00 BDT
Discount: - 0.00 BDT
Grand Total: 1,500.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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