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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Jakiya
Age / Gender: 28 Yrs / Female
Mobile: 01959324381
Address: Narikale
Invoice No: LAB-26-1147
Billing Date: 14-10-2026 05:18 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: hp
SL Test Name Price (BDT)
1 USG Pregnancy Profile / Uterus & Adnexa 1,000.00
Subtotal: 1,000.00 BDT
Discount: - 100.00 BDT
Grand Total: 900.00 BDT
Money Received (Paid): 900.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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