| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 9735 | 2824-2409 | Abdul Majid | Capoten 50mg Tab | 29 | 5 | 5 | 145 |
| 9752 | 2824-2409 | Abdul Majid | Ulsanic 120ml Syp | 400 | 1 | 1 | 400 |
| 9758 | 2824-2409 | Abdul Majid | Amgofil 300ug Inj | 1800 | 1 | 1 | 1,800 |
| 9760 | 2824-2409 | Abdul Majid | N/S 100ML Inf | 80 | 5 | 5 | 400 |
| 9765 | 2824-2409 | Abdul Majid | 5% dextrose 1/2 saline 500ml Inf | 105 | 1 | 1 | 105 |
| 9766 | 2824-2409 | Abdul Majid | 5% dextose 100ml Inf | 80 | 1 | 1 | 80 |
| 9770 | 2824-2409 | Abdul Majid | 20G IV Canulla Vasofix | 200 | 1 | 1 | 200 |
| 9772 | 2824-2409 | Abdul Majid | 5cc Syringe Disp | 30 | 1 | 1 | 30 |
| 9773 | 2824-2409 | Abdul Majid | 10cc Syringe Disp | 40 | 9 | 9 | 360 |
| 9774 | 2824-2409 | Abdul Majid | 20cc Syringe Disp | 60 | 6 | 6 | 360 |
| 9775 | 2824-2409 | Abdul Majid | 1cc Syringe Disp | 17 | 2 | 2 | 34 |
| 9778 | 2824-2409 | Abdul Majid | IV Set | 150 | 12 | 12 | 1,800 |
| 9782 | 2824-2409 | Abdul Majid | Dial Flow | 160 | 1 | 1 | 160 |
| 9791 | 2824-2409 | Abdul Majid | B-T Set | 220 | 1 | 1 | 220 |
| 9799 | 2824-2409 | Abdul Majid | Tega Dressing | 90 | 1 | 1 | 90 |
| 9817 | 2824-2409 | Abdul Majid | 22G IV Canulla Introcan | 400 | 2 | 2 | 800 |
| 9821 | 2824-2409 | Abdul Majid | 7.0 Surgical Gloves | 350 | 1 | 1 | 350 |
| 9858 | 2824-2409 | Abdul Majid | Caricef 400 mg Cap | 90 | 9 | 8 | 720 |
| 9860 | 2824-2409 | Abdul Majid | Bioral 50mg Cap | 95 | 3 | 3 | 285 |
| GRAND TOTAL | 8,339 | ||||||