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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Rubel
Age / Gender: 33 Yrs / Male
Mobile: 01957266352
Address: N/A
Invoice No: LAB-26-1103
Billing Date: 11-10-2026 03:04 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient: N/A
SL Test Name Price (BDT)
1 Lumber spin B/V 1,200.00
2 S.Creatinine 500.00
3 Uric Acid 600.00
4 Random Blood Sugar 150.00
5 Collection Set 25.00
6 Edta Tube 30.00
Subtotal: 2,505.00 BDT
Discount: - 705.00 BDT
Grand Total: 1,800.00 BDT
Money Received (Paid): 1,800.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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