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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Arjina
Age / Gender: 20 Yrs / Female
Mobile: 01759905859
Address: baipas
Invoice No: LAB-26-1047
Billing Date: 09-10-2026 11:09 AM
Patient Type: Outdoor
Ref. Doctor: Dr.Rumana Afroz MBBS.BCS.(Health) FCPS Gyne
Ref. Patient: Runu
SL Test Name Price (BDT)
1 CBC 500.00
2 Random Blood Sugar 150.00
3 S.Creatinine 500.00
4 Blood Group &Rh Factor 100.00
5 Hbs Ag 500.00
6 Admission Fee 200.00
7 Collection Set 25.00
8 Edta Tube 30.00
Subtotal: 2,005.00 BDT
Discount: - 5.00 BDT
Grand Total: 2,005.00 BDT
Money Received (Paid): 2,000.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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