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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Taniya
Age / Gender: 37 Yrs / Female
Mobile: 01791250255
Address: Kujgor, Jamalpur
Invoice No: LAB-2026-0303
Billing Date: 20-08-2026 04:47 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Dil Afrose Nisha MBBS (DU).BCS (Health) FCPS (Gynae&Obs)
Ref. Patient: Sohi
SL Test Name Price (BDT)
1 CBC 500.00
2 Hbs Ag 500.00
3 Random Blood Sugar 150.00
4 S.Creatinine 500.00
5 Urine for R/M/E 300.00
6 TSH 1,000.00
7 USG Pregnancy Profile / Uterus & Adnexa 1,000.00
8 Collection Set 25.00
9 Edta Tube 30.00
10 Red Tube 25.00
Subtotal: 4,030.00 BDT
Discount: - 0.00 BDT
Grand Total: 4,030.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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