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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Nadia
Age / Gender: 14 Yrs / Female
Mobile: 01
Address: Shetulkusha
Invoice No: LAB-26-0790
Billing Date: 22-09-2026 03:08 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Robiul Islam Roni MBBS.DLU.ENT,BSMMU
Ref. Patient: munna
SL Test Name Price (BDT)
1 OT Bill Advance 5,000.00
Subtotal: 5,000.00 BDT
Discount: - 0.00 BDT
Grand Total: 5,000.00 BDT
Money Received (Paid): 5,000.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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