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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Manik
Age / Gender: 50 Yrs / Male
Mobile: 001729973618
Address: Kalibare
Invoice No: LAB-26-0585
Billing Date: 07-09-2026 03:52 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: N/A
SL Test Name Price (BDT)
1 D/L Spine & Latteral view 900.00
2 Uric Acid 600.00
3 S.Creatinine 500.00
Subtotal: 2,000.00 BDT
Discount: - 0.00 BDT
Grand Total: 2,000.00 BDT
Money Received (Paid): 2,000.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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