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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Sarmin
Age / Gender: 23 Yrs / Female
Mobile: 01969233704
Address: N/A
Invoice No: LAB-26-1190
Billing Date: 19-10-2026 06:20 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Mahmud Hosen Nasim MBBS,BCS,(Health) MD (cardiology) CCD Bardem
Ref. Patient: N/A
SL Test Name Price (BDT)
1 CRP 800.00
2 RA 800.00
3 Uric Acid 600.00
4 RT Hand B/V 900.00
5 S.Creatinine 500.00
6 Random Blood Sugar 150.00
7 Collection Set 25.00
8 Edta Tube 30.00
Subtotal: 3,805.00 BDT
Discount: - 1,205.00 BDT
Grand Total: 2,600.00 BDT
Money Received (Paid): 2,600.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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