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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Mitu
Age / Gender: 19 Yrs / Female
Mobile: 01912061884
Address: vatara Jamalpur
Invoice No: LAB-26-1326
Billing Date: 29-10-2026 01:04 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: md
SL Test Name Price (BDT)
1 USG Pregnancy Profile / Uterus & Adnexa 1,000.00
Subtotal: 1,000.00 BDT
Discount: - 400.00 BDT
Grand Total: 600.00 BDT
Money Received (Paid): 600.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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