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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Murseda
Age / Gender: 42 Yrs / Female
Mobile: 01750474147
Address: Titpalla
Invoice No: LAB-26-0687
Billing Date: 15-09-2026 09:41 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Shamsur Rahman MBBS.BCS.(Health) FCPS (Surgery)
Ref. Patient: Dr,Selim
SL Test Name Price (BDT)
1 OT Bill Paid 16,000.00
Subtotal: 16,000.00 BDT
Discount: - 1,000.00 BDT
Grand Total: 15,000.00 BDT
Money Received (Paid): 15,000.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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