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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Nodi
Age / Gender: 17 Yrs / Female
Mobile: 01
Address: Shorishabari,jamalpur
Invoice No: LAB-26-1211
Billing Date: 20-10-2026 12:42 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Robiul Islam Roni MBBS.DLU.ENT,BSMMU
Ref. Patient: hp
SL Test Name Price (BDT)
1 Admission Fee 200.00
Subtotal: 200.00 BDT
Discount: - 0.00 BDT
Grand Total: 200.00 BDT
Money Received (Paid): 200.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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