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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Manik
Age / Gender: 17 Yrs / Male
Mobile: 01321643358
Address: shaldoho
Invoice No: LAB-2026-0154
Billing Date: 08-08-2026 02:14 PM
Patient Type: Outdoor
Ref. Doctor: Dr. Md. Shamim Reza MBBS (RMC), BCS (Health), MS (Ortho), FCPS
Ref. Patient: Monir
SL Test Name Price (BDT)
1 X-Ray LT Wrist Joint B/V 800.00
Subtotal: 800.00 BDT
Discount: - 0.00 BDT
Grand Total: 800.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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