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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Kakoli
Age / Gender: 30 Yrs / Female
Mobile: 01313784847
Address: baipas
Invoice No: LAB-2026-0193
Billing Date: 13-08-2026 03:40 PM
Patient Type: Outdoor
Ref. Doctor: Dr. Md. Shamim Reza MBBS (RMC), BCS (Health), MS (Ortho), FCPS
Ref. Patient: md
SL Test Name Price (BDT)
1 X-Ray Lumber Spine B/ View 1,200.00
2 S.Creatinine 500.00
3 S. Uric Acid 600.00
4 Urine for R/M/E 500.00
5 Urine pot 25.00
6 Collection Set 25.00
7 Edta Tube 20.00
8 Red Tube 30.00
Subtotal: 2,900.00 BDT
Discount: - 0.00 BDT
Grand Total: 2,900.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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