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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Jubayel
Age / Gender: 26 Yrs / Male
Mobile: 01
Address: Beltia ,Jamalpur
Invoice No: LAB-2026-0406
Billing Date: 25-08-2026 07:45 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Somvob Niramoy kendra(Jusen)
SL Test Name Price (BDT)
1 SGPT 600.00
2 Random Blood Sugar 150.00
3 S.Creatinine 500.00
4 Hbs Ag 500.00
5 Collection Set 25.00
6 Edta Tube 30.00
Subtotal: 1,805.00 BDT
Discount: - 0.00 BDT
Grand Total: 1,805.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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