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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Sumon
Age / Gender: 5 Yrs / Male
Mobile: 01320545783
Address: Khupibari,jamalpur
Invoice No: LAB-26-1337
Billing Date: 30-10-2026 10:42 AM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: hp
SL Test Name Price (BDT)
1 LT Shoulder joint B/V 1,400.00
Subtotal: 1,400.00 BDT
Discount: - 600.00 BDT
Grand Total: 800.00 BDT
Money Received (Paid): 800.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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