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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Shofiul Alom
Age / Gender: 70 Yrs / Male
Mobile: 01745001991
Address: Mridhapara,Jamalpur
Invoice No: LAB-26-1300
Billing Date: 26-10-2026 06:50 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Mahmud Hosen Nasim MBBS,BCS,(Health) MD (cardiology) CCD Bardem
Ref. Patient: md
SL Test Name Price (BDT)
1 CBC 500.00
Subtotal: 500.00 BDT
Discount: - 250.00 BDT
Grand Total: 250.00 BDT
Money Received (Paid): 250.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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