| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 10475 | 2772-2407 | Ayan Aziz | Lilac 120ml Syp | 255 | 1 | 1 | 255 |
| 10487 | 2772-2407 | Ayan Aziz | 5% Dextrose 500ml Inf | 90 | 2 | 2 | 180 |
| 10524 | 2772-2407 | Ayan Aziz | Tega Dressing | 90 | 1 | 0 | 0 |
| 10548 | 2772-2407 | Ayan Aziz | Fonaz Tab 150mg | 150 | 2 | 2 | 300 |
| 10561 | 2772-2407 | Ayan Aziz | Eltrombopag 50mg Tab | 1400 | 6 | 6 | 8,400 |
| 10575 | 2772-2407 | Ayan Aziz | Folinic acid (Leucocin) 50mg Inj | 725 | 2 | 2 | 1,450 |
| 10576 | 2772-2407 | Ayan Aziz | Fortazim 1g Inj | 375 | 1 | 1 | 375 |
| GRAND TOTAL | 10,960 | ||||||