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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Jusna
Age / Gender: 50 Yrs / Female
Mobile: 01797341772
Address: Nandina,jamalpur
Invoice No: LAB-26-1281
Billing Date: 25-10-2026 01:08 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: mutaleb Lab
SL Test Name Price (BDT)
1 IgE 1,200.00
2 SGPT 600.00
3 Edta Tube 30.00
4 Collection Set 25.00
Subtotal: 1,855.00 BDT
Discount: - 755.00 BDT
Grand Total: 1,855.00 BDT
Money Received (Paid): 1,100.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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