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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Sanuwara
Age / Gender: 25 Yrs / Male
Mobile: 01
Address: Madergonj
Invoice No: LAB-26-1431
Billing Date: 06-11-2026 12:22 PM
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 ECG 500.00
4 CXR P/A 700.00
5 Urine for R/M/E 300.00
6 USG Whole Abdomen 1,500.00
7 Collection Set 25.00
8 Edta Tube 30.00
9 Urine pot 25.00
Subtotal: 3,730.00 BDT
Discount: - 1,030.00 BDT
Grand Total: 3,730.00 BDT
Money Received (Paid): 2,700.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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