| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 9995 | 2824-2409 | Abdul Majid | Bioral 25mg Cap | 55 | 15 | 15 | 825 |
| 9996 | 2824-2409 | Abdul Majid | Bioral 50mg Cap | 95 | 15 | 15 | 1,425 |
| GRAND TOTAL | 2,250 | ||||||
| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 9995 | 2824-2409 | Abdul Majid | Bioral 25mg Cap | 55 | 15 | 15 | 825 |
| 9996 | 2824-2409 | Abdul Majid | Bioral 50mg Cap | 95 | 15 | 15 | 1,425 |
| GRAND TOTAL | 2,250 | ||||||