| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 13509 | 2896-2410 | M sarim khan | 20cc Syringe Disp | 60 | 5 | 5 | 300 |
| 13515 | 2896-2410 | M sarim khan | IV Set | 150 | 4 | 4 | 600 |
| 13521 | 2896-2410 | M sarim khan | Dial Flow | 160 | 1 | 1 | 160 |
| GRAND TOTAL | 1,060 | ||||||
| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 13509 | 2896-2410 | M sarim khan | 20cc Syringe Disp | 60 | 5 | 5 | 300 |
| 13515 | 2896-2410 | M sarim khan | IV Set | 150 | 4 | 4 | 600 |
| 13521 | 2896-2410 | M sarim khan | Dial Flow | 160 | 1 | 1 | 160 |
| GRAND TOTAL | 1,060 | ||||||