| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 8790 | 2824-2409 | Abdul Majid | Xylocaine Gel 2% | 60 | 1 | 1 | 60 |
| 8799 | 2824-2409 | Abdul Majid | R/L 1000ml Inf | 130 | 1 | 1 | 130 |
| 8802 | 2824-2409 | Abdul Majid | 5% Dextrose 500ml Inf | 90 | 2 | 2 | 180 |
| 8820 | 2824-2409 | Abdul Majid | Opsite Dressing | 430 | 3 | 3 | 1,290 |
| 8846 | 2824-2409 | Abdul Majid | MGSO4 (Epsium ) 10ML Inj | 30 | 2 | 2 | 60 |
| 8855 | 2824-2409 | Abdul Majid | 7.0 Surgical Gloves | 350 | 1 | 1 | 350 |
| 8867 | 2824-2409 | Abdul Majid | Flu Z (Flumag) 35ml Syp | 300 | 2 | 2 | 600 |
| 8879 | 2824-2409 | Abdul Majid | Gravinate (Menhydrin) 50mg Inj | 10 | 3 | 3 | 30 |
| 8881 | 2824-2409 | Abdul Majid | Lasix (Frusemide) 20mg Inj | 10 | 5 | 5 | 50 |
| 8886 | 2824-2409 | Abdul Majid | K-LOT 10MG/ML Inj | 220 | 1 | 1 | 220 |
| GRAND TOTAL | 2,970 | ||||||