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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Rukon
Age / Gender: 40 Yrs / Male
Mobile: 01
Address: Getpar,jamalpur
Invoice No: LAB-26-1123
Billing Date: 12-10-2026 10:49 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Akram Assist
SL Test Name Price (BDT)
1 Ot Charge S 4,000.00
2 Cabin Charge s 2,500.00
Subtotal: 6,500.00 BDT
Discount: - 0.00 BDT
Grand Total: 6,500.00 BDT
Money Received (Paid): 6,500.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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