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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Shorna
Age / Gender: 21 Yrs / Female
Mobile: 01713545162
Address: N/A
Invoice No: LAB-26-0602
Billing Date: 08-09-2026 03:05 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Robiul Islam Roni MBBS.DLU.ENT,BSMMU
Ref. Patient: N/A
SL Test Name Price (BDT)
1 Admission Fee 200.00
2 OT Bill Advance 6,000.00
Subtotal: 6,200.00 BDT
Discount: - 1,000.00 BDT
Grand Total: 5,200.00 BDT
Money Received (Paid): 5,200.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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