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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Bonna
Age / Gender: 18 Yrs / Female
Mobile: 01606558382
Address: Madergonj
Invoice No: LAB-2026-0207
Billing Date: 14-08-2026 12:28 PM
Patient Type: Outdoor
Ref. Doctor: Dr. Muhammad Mohsin MBBS (DMC), BCS (Health), FCPS (Medicine), MD (Medicine)
Ref. Patient: Hp
SL Test Name Price (BDT)
1 Urine for R/M/E 500.00
2 USG KUB Region 1,200.00
3 Random Blood Sugar 150.00
4 Urine pot 25.00
5 Collection Set 25.00
6 Edta Tube 20.00
7 Red Tube 30.00
Subtotal: 1,950.00 BDT
Discount: - 550.00 BDT
Grand Total: 1,400.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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