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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Sadia
Age / Gender: 15 Yrs / Female
Mobile: 01724976586
Address: Madergonj
Invoice No: LAB-26-1415
Billing Date: 06-11-2026 11:18 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 S.Creatinine 500.00
3 SGPT 600.00
4 S. Bilirubin Total 500.00
5 USG Whole Abdomen 1,500.00
6 Urine for R/M/E 300.00
7 Collection Set 25.00
8 Edta Tube 30.00
9 Urine pot 25.00
Subtotal: 3,980.00 BDT
Discount: - 1,180.00 BDT
Grand Total: 2,800.00 BDT
Money Received (Paid): 2,800.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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