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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Firoza
Age / Gender: 45 Yrs / Female
Mobile: 01
Address: baipas
Invoice No: LAB-2026-0378
Billing Date: 23-08-2026 03:17 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient: Hp
SL Test Name Price (BDT)
1 LT knee joint B/V 1,400.00
Subtotal: 1,400.00 BDT
Discount: - 400.00 BDT
Grand Total: 1,000.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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