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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Rukon
Age / Gender: 35 Yrs / Male
Mobile: 01
Address: Madergonj
Invoice No: LAB-26-1399
Billing Date: 04-11-2026 01:58 PM
Patient Type: Outdoor
Ref. Doctor: Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient: hp
SL Test Name Price (BDT)
1 RT Thigh B/V 1,400.00
Subtotal: 1,400.00 BDT
Discount: - 400.00 BDT
Grand Total: 1,400.00 BDT
Money Received (Paid): 1,000.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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