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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Kawser
Age / Gender: 26 Yrs / Male
Mobile: 01707373192
Address: Beltia Jamalpur
Invoice No: LAB-2026-0426
Billing Date: 27-08-2026 04:05 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Hp
SL Test Name Price (BDT)
1 ICT for Dengue NS1) 900.00
2 Urine for R/M/E 500.00
3 Collection Set 25.00
4 Urine pot 25.00
5 Edta Tube 30.00
Subtotal: 1,480.00 BDT
Discount: - 0.00 BDT
Grand Total: 1,480.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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