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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Yesmin
Age / Gender: 22 Yrs / Female
Mobile: 01793509229
Address: Titpalla
Invoice No: LAB-26-0974
Billing Date: 02-10-2026 05:06 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Faruk marketing
SL Test Name Price (BDT)
1 USG Whole Abdomen 1,500.00
Subtotal: 1,500.00 BDT
Discount: - 600.00 BDT
Grand Total: 1,500.00 BDT
Money Received (Paid): 900.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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