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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Hashi(yasin Arafat)
Age / Gender: 50 Yrs / Female
Mobile: 01737689531
Address: Narikeli,jamalpur
Invoice No: LAB-2026-0297
Billing Date: 20-08-2026 12:10 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Hp
SL Test Name Price (BDT)
1 Hbs Ag 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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