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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Farzana
Age / Gender: 20 Yrs / Female
Mobile: 01
Address: shahbajpur,jamalpur
Invoice No: LAB-26-0760
Billing Date: 19-09-2026 08:25 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Mehedi/menegar
SL Test Name Price (BDT)
1 Normal Delivary Bill 10,000.00
Subtotal: 10,000.00 BDT
Discount: - 2,000.00 BDT
Grand Total: 8,000.00 BDT
Money Received (Paid): 8,000.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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