| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 8653 | 2808-2409 | Fatima Tabassum | Saptran plain 50ml Syp | 60 | 1 | 1 | 60 |
| 8656 | 2808-2409 | Fatima Tabassum | Xylocaine Gel 2% | 60 | 1 | 0 | 0 |
| 8659 | 2808-2409 | Fatima Tabassum | Amgofil 300ug Inj | 1800 | 3 | 0 | 0 |
| 8664 | 2808-2409 | Fatima Tabassum | N/S 500ML Inf | 100 | 1 | 1 | 100 |
| 8668 | 2808-2409 | Fatima Tabassum | 5% dextose 100ml Inf | 80 | 1 | 1 | 80 |
| 8670 | 2808-2409 | Fatima Tabassum | 20G IV Canulla Vasofix | 200 | 1 | 1 | 200 |
| 8673 | 2808-2409 | Fatima Tabassum | 20cc Syringe Disp | 60 | 5 | 5 | 300 |
| 8687 | 2808-2409 | Fatima Tabassum | Opsite Dressing | 430 | 3 | 3 | 1,290 |
| 8689 | 2808-2409 | Fatima Tabassum | Silk 2/0 Braided round body | 250 | 1 | 1 | 250 |
| 8690 | 2808-2409 | Fatima Tabassum | Pyodine Sol 50ml | 140 | 1 | 1 | 140 |
| 8693 | 2808-2409 | Fatima Tabassum | B-T Set | 220 | 3 | 3 | 660 |
| 8721 | 2808-2409 | Fatima Tabassum | 7.0 Surgical Gloves | 350 | 1 | 1 | 350 |
| 8739 | 2808-2409 | Fatima Tabassum | Fludarabine 50mg Inj | 15000 | 1 | 1 | 15,000 |
| 8741 | 2808-2409 | Fatima Tabassum | Cyclomide 500mg Inj | 300 | 1 | 1 | 300 |
| GRAND TOTAL | 18,730 | ||||||