| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 796 | N/S 100ML Inf | 75 | 3 | 3 | 225 | ||
| 797 | N/S 500ML Inf | 90 | 4 | 4 | 360 | ||
| 800 | 5cc Syringe Disp | 25 | 1 | 1 | 25 | ||
| 801 | 10cc Syringe Disp | 30 | 2 | 2 | 60 | ||
| 803 | Kureall Sanitizer 1000ml | 1050 | 1 | 1 | 1,050 | ||
| 804 | IV Set | 100 | 6 | 6 | 600 | ||
| 814 | Tramal (Tonoflex) 100mg/2ml Inj | 55 | 1 | 1 | 55 | ||
| 815 | Gravinate (Menhydrin) 50mg Inj | 10 | 1 | 1 | 10 | ||
| GRAND TOTAL | 2,385 | ||||||