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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Rabbi(Vabna)
Age / Gender: 24 Yrs / Male
Mobile: 01613644360
Address: Kujgor, Jamalpur
Invoice No: LAB-26-0587
Billing Date: 07-09-2026 05:49 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Dr,Selim
SL Test Name Price (BDT)
1 Hbs Ag 500.00
Subtotal: 500.00 BDT
Discount: - 0.00 BDT
Grand Total: 500.00 BDT
Money Received (Paid): 500.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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