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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Emon
Age / Gender: 23 Yrs / Male
Mobile: 017
Address: N/A
Invoice No: LAB-26-1238
Billing Date: 21-10-2026 06:07 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Ayesha
SL Test Name Price (BDT)
1 Blood Group &Rh Factor 100.00
2 Hbs Ag 500.00
Subtotal: 600.00 BDT
Discount: - 100.00 BDT
Grand Total: 600.00 BDT
Money Received (Paid): 500.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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