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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Nazma
Age / Gender: 40 Yrs / Female
Mobile: 01720312133
Address: Madergonj
Invoice No: LAB-26-1061
Billing Date: 09-10-2026 12:05 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient: dr.mohoshin
SL Test Name Price (BDT)
1 Urine for R/M/E 300.00
2 Random Blood Sugar 150.00
3 S.Creatinine 500.00
4 Collection Set 25.00
5 Edta Tube 30.00
6 Urine pot 25.00
Subtotal: 1,030.00 BDT
Discount: - 230.00 BDT
Grand Total: 800.00 BDT
Money Received (Paid): 800.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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