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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Sumaiya
Age / Gender: 25 Yrs / Female
Mobile: 01
Address: Titpalla
Invoice No: LAB-26-0972
Billing Date: 02-10-2026 05:02 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Rumana Afroz MBBS.BCS.(Health) FCPS Gyne
Ref. Patient: Dr,Selim
SL Test Name Price (BDT)
1 Admission Fee 200.00
Subtotal: 200.00 BDT
Discount: - 50.00 BDT
Grand Total: 150.00 BDT
Money Received (Paid): 150.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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