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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Sojib
Age / Gender: 38 Yrs / Male
Mobile: 01
Address: baipas
Invoice No: LAB-26-1137
Billing Date: 14-10-2026 12:57 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: shahin
SL Test Name Price (BDT)
1 Blood Group &Rh Factor 100.00
2 Collection Set 25.00
3 Edta Tube 30.00
Subtotal: 155.00 BDT
Discount: - 55.00 BDT
Grand Total: 100.00 BDT
Money Received (Paid): 100.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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