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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Ripon
Age / Gender: 11 Yrs / Male
Mobile: 01962146382
Address: Islampur
Invoice No: LAB-2026-0352
Billing Date: 22-08-2026 11:51 AM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Hp
SL Test Name Price (BDT)
1 X-ray LT Elbow Joint B/V View 900.00
Subtotal: 900.00 BDT
Discount: - 400.00 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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