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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Suja
Age / Gender: 20 Yrs / Female
Mobile: 01602441151
Address: Gunti
Invoice No: LAB-26-0616
Billing Date: 09-09-2026 03:51 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Dil Afrose Nisha MBBS (DU).BCS (Health) FCPS (Gynae&Obs)
Ref. Patient: Liza
SL Test Name Price (BDT)
1 Urine pt 200.00
Subtotal: 200.00 BDT
Discount: - 100.00 BDT
Grand Total: 100.00 BDT
Money Received (Paid): 100.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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