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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Sabbir
Age / Gender: 13 Yrs / Male
Mobile: 01830685160
Address: Nandina,jamalpur
Invoice No: LAB-26-1132
Billing Date: 13-10-2026 02:06 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: hp
SL Test Name Price (BDT)
1 S.Creatinine 500.00
2 USG KUB Region 1,200.00
3 Collection Set 25.00
4 Edta Tube 30.00
Subtotal: 1,755.00 BDT
Discount: - 255.00 BDT
Grand Total: 1,755.00 BDT
Money Received (Paid): 1,500.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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