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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Suborna
Age / Gender: 18 Yrs / Female
Mobile: 01
Address: baipas
Invoice No: LAB-26-0995
Billing Date: 04-10-2026 03:17 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Khorshed Alam MBBS , BCS (Health) FCPS Medicine
Ref. Patient: shahin
SL Test Name Price (BDT)
1 CXR P/A 700.00
Subtotal: 700.00 BDT
Discount: - 300.00 BDT
Grand Total: 700.00 BDT
Money Received (Paid): 400.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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