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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Jihad
Age / Gender: 18 Yrs / Male
Mobile: 01966797247
Address: baipas
Invoice No: LAB-26-1294
Billing Date: 26-10-2026 04:04 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: shahin
SL Test Name Price (BDT)
1 S. Bilirubin Total 500.00
2 Collection Set 25.00
3 Edta Tube 30.00
Subtotal: 555.00 BDT
Discount: - 205.00 BDT
Grand Total: 350.00 BDT
Money Received (Paid): 350.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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