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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Ziaul haque
Age / Gender: 60 Yrs / Male
Mobile: 01
Address: baipas
Invoice No: LAB-2026-0178
Billing Date: 11-08-2026 05:11 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: bozlu
SL Test Name Price (BDT)
1 ECG (12+ ch / 6 ch / 3 ch) 500.00
Subtotal: 500.00 BDT
Discount: - 0.00 BDT
Grand Total: 500.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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