| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 12123 | 2697-2402 | Saifullah | Suprimun 500mg tab | 110 | 16 | 16 | 1,760 |
| GRAND TOTAL | 1,760 | ||||||
| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 12123 | 2697-2402 | Saifullah | Suprimun 500mg tab | 110 | 16 | 16 | 1,760 |
| GRAND TOTAL | 1,760 | ||||||