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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Fahim
Age / Gender: 14 Yrs / Male
Mobile: 01719090386
Address: N/A
Invoice No: LAB-2026-0242
Billing Date: 15-08-2026 06:30 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Dr,Selim
SL Test Name Price (BDT)
1 X-ray LT Elbow Joint B/V View 900.00
Subtotal: 900.00 BDT
Discount: - 100.00 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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