| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 6409 | 2808-2409 | Fatima Tabassum | 16G LP Needle | 300 | 4 | 4 | 1,200 |
| 6430 | 2808-2409 | Fatima Tabassum | Vent Fillter | 800 | 1 | 1 | 800 |
| GRAND TOTAL | 2,000 | ||||||
| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 6409 | 2808-2409 | Fatima Tabassum | 16G LP Needle | 300 | 4 | 4 | 1,200 |
| 6430 | 2808-2409 | Fatima Tabassum | Vent Fillter | 800 | 1 | 1 | 800 |
| GRAND TOTAL | 2,000 | ||||||