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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Ali
Age / Gender: 55 Yrs / Male
Mobile: 01
Address: N/A
Invoice No: LAB-2026-0509
Billing Date: 04-09-2026 11:24 AM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: N/A
SL Test Name Price (BDT)
1 ECG 500.00
Subtotal: 500.00 BDT
Discount: - 100.00 BDT
Grand Total: 400.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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