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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Rikta
Age / Gender: 35 Yrs / Female
Mobile: 01759905859
Address: baipas
Invoice No: LAB-26-0811
Billing Date: 23-09-2026 03:56 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Runu
SL Test Name Price (BDT)
1 USG Pregnancy Profile / Uterus & Adnexa 1,000.00
Subtotal: 1,000.00 BDT
Discount: - 400.00 BDT
Grand Total: 600.00 BDT
Money Received (Paid): 600.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
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