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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Monoara
Age / Gender: 50 Yrs / Female
Mobile: 01765828990
Address: Gazipur,jamalpur
Invoice No: LAB-2026-0205
Billing Date: 14-08-2026 12:18 PM
Patient Type: Outdoor
Ref. Doctor: Dr. Muhammad Mohsin MBBS (DMC), BCS (Health), FCPS (Medicine), MD (Medicine)
Ref. Patient: Firoz Mia
SL Test Name Price (BDT)
1 S.Creatinine 500.00
2 Urine for R/M/E 500.00
3 CBC 500.00
4 SGOT 600.00
5 USG Whole Abdomen 1,500.00
6 Collection Set 25.00
7 Edta Tube 20.00
8 Red Tube 30.00
9 Urine pot 25.00
Subtotal: 3,700.00 BDT
Discount: - 0.00 BDT
Grand Total: 3,700.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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