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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Akhi
Age / Gender: 22 Yrs / Female
Mobile: 01999111691
Address: Sherpur
Invoice No: LAB-26-0598
Billing Date: 08-09-2026 10:29 AM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Hp
SL Test Name Price (BDT)
1 X-Ray Styloid Process B/V 1,400.00
Subtotal: 1,400.00 BDT
Discount: - 400.00 BDT
Grand Total: 1,000.00 BDT
Money Received (Paid): 1,000.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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