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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Al Amin
Age / Gender: 38 Yrs / Male
Mobile: 01729789310
Address: Madergonj
Invoice No: LAB-26-1348
Billing Date: 30-10-2026 11:59 AM
Patient Type: Outdoor
Ref. Doctor: Dr.Mohammad Mohsin MBBS,BCS(Health)MD Medicine MACP
Ref. Patient: dr.mohoshin
SL Test Name Price (BDT)
1 CBC 500.00
2 Random Blood Sugar 150.00
3 S.Creatinine 500.00
4 ECG 500.00
5 CXR P/A 700.00
6 IgE 1,200.00
7 Collection Set 25.00
8 Edta Tube 30.00
Subtotal: 3,605.00 BDT
Discount: - 1,005.00 BDT
Grand Total: 2,600.00 BDT
Money Received (Paid): 2,600.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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