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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Nosrat
Age / Gender: 3 Yrs / Female
Mobile: 01738629437
Address: N/A
Invoice No: LAB-26-0871
Billing Date: 26-09-2026 09:00 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient: N/A
SL Test Name Price (BDT)
1 X-Ray Cervical Spine B/ View 1,200.00
Subtotal: 1,200.00 BDT
Discount: - 400.00 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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