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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Jorina
Age / Gender: 30 Yrs / Female
Mobile: 01735378169
Address: Madergonj
Invoice No: LAB-26-0838
Billing Date: 25-09-2026 11:55 AM
Patient Type: Outdoor
Ref. Doctor: Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient: dr.mohoshin
SL Test Name Price (BDT)
1 TSH 1,000.00
2 Collection Set 25.00
3 Edta Tube 30.00
Subtotal: 1,055.00 BDT
Discount: - 255.00 BDT
Grand Total: 800.00 BDT
Money Received (Paid): 800.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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