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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Rohima
Age / Gender: 60 Yrs / Female
Mobile: 01748000735
Address: N/A
Invoice No: LAB-2026-0443
Billing Date: 28-08-2026 03:12 PM
Patient Type: Outdoor
Ref. Doctor: Dr. Muhammad Mohsin MBBS (DMC), BCS (Health), FCPS (Medicine), MD (Medicine)
Ref. Patient: Azad
SL Test Name Price (BDT)
1 CBC 500.00
2 Random Blood Sugar 150.00
3 S.Creatinine 500.00
4 ECG (12+ ch / 6 ch / 3 ch) 500.00
5 Total IgE /IgM 1,200.00
6 USG Whole Abdomen 1,500.00
7 X-Ray Chest P/A View 700.00
8 Collection Set 25.00
9 Edta Tube 30.00
Subtotal: 5,105.00 BDT
Discount: - 0.00 BDT
Grand Total: 5,105.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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