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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Shakil Ahmed
Age / Gender: 28 Yrs / Male
Mobile: 01742784706
Address: Shahpur,jamalpur)
Invoice No: LAB-26-0932
Billing Date: 30-09-2026 11:28 AM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Runu
SL Test Name Price (BDT)
1 CBC 500.00
2 Dengue Ns1 900.00
3 Collection Set 25.00
4 Edta Tube 30.00
Subtotal: 1,455.00 BDT
Discount: - 555.00 BDT
Grand Total: 900.00 BDT
Money Received (Paid): 900.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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