| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 13103 | 2808-2409 | Fatima Tabassum | Provas (Fevagesic) 1g inj | 180 | 1 | 1 | 180 |
| 13142 | 2808-2409 | Fatima Tabassum | Penro 1g Inj | 2500 | 2 | 0 | 0 |
| 13144 | 2808-2409 | Fatima Tabassum | Vorif 200mg Tab | 200 | 8 | 0 | 0 |
| GRAND TOTAL | 180 | ||||||