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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Nasima
Age / Gender: 39 Yrs / Female
Mobile: 01771114762
Address: Titpalla
Invoice No: LAB-26-1022
Billing Date: 06-10-2026 01:23 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Robiul Islam Roni MBBS.DLU.ENT,BSMMU
Ref. Patient: Hp
SL Test Name Price (BDT)
1 CBC 500.00
2 Collection Set 25.00
3 Edta Tube 30.00
Subtotal: 555.00 BDT
Discount: - 55.00 BDT
Grand Total: 500.00 BDT
Money Received (Paid): 500.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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