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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Maria Akter
Age / Gender: 18 Yrs / Female
Mobile: 01
Address: baipas
Invoice No: LAB-26-1362
Billing Date: 31-10-2026 01:17 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Saila
SL Test Name Price (BDT)
1 Blood Group &Rh Factor 100.00
2 Collection Set 25.00
3 Edta Tube 30.00
Subtotal: 155.00 BDT
Discount: - 55.00 BDT
Grand Total: 155.00 BDT
Money Received (Paid): 100.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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