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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Md.Uzzol Mia
Age / Gender: 35 Yrs / Male
Mobile: 01626860874
Address: Serpur
Invoice No: LAB-26-1458
Billing Date: 07-11-2026 04:48 PM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: hp
SL Test Name Price (BDT)
1 CXR P/A 700.00
Subtotal: 700.00 BDT
Discount: - 200.00 BDT
Grand Total: 500.00 BDT
Money Received (Paid): 500.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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