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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Robin (Hosnewara)
Age / Gender: 26 Yrs / Male
Mobile: 01769320515
Address: tamaltula Jamalpur
Invoice No: LAB-26-1451
Billing Date: 07-11-2026 10:58 AM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: Akram Assist
SL Test Name Price (BDT)
1 Hbs Ag 500.00
Subtotal: 500.00 BDT
Discount: - 200.00 BDT
Grand Total: 500.00 BDT
Money Received (Paid): 300.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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