| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 17753 | 2875-2410 | Asif bashir | Zyloric 300mg Tab | 8 | 4 | 4 | 32 |
| 17767 | 2875-2410 | Asif bashir | Kcl 25ml Inj | 18 | 3 | 3 | 54 |
| 17773 | 2875-2410 | Asif bashir | R/L 500ml Inf | 115 | 1 | 1 | 115 |
| 17774 | 2875-2410 | Asif bashir | R/L 1000ml Inf | 130 | 4 | 4 | 520 |
| 17775 | 2875-2410 | Asif bashir | 5% dextrose 1/2 saline 500ml Inf | 105 | 14 | 14 | 1,470 |
| 17779 | 2875-2410 | Asif bashir | 10cc Syringe Disp | 40 | 5 | 5 | 200 |
| 17780 | 2875-2410 | Asif bashir | 20cc Syringe Disp | 60 | 20 | 20 | 1,200 |
| 17784 | 2875-2410 | Asif bashir | IV Set | 150 | 1 | 2 | 300 |
| 17796 | 2875-2410 | Asif bashir | 3 Way Stopper with EXT | 175 | 1 | 1 | 175 |
| 17810 | 2875-2410 | Asif bashir | Avil 25mg/ml Inj | 15 | 1 | 1 | 15 |
| 17812 | 2875-2410 | Asif bashir | Cal-Gluconate 1g/10ml Inj | 30 | 1 | 1 | 30 |
| 17814 | 2875-2410 | Asif bashir | MGSO4 (Epsium ) 10ML Inj | 30 | 1 | 1 | 30 |
| 17835 | 2875-2410 | Asif bashir | HiCartiff 100mg Inj | 110 | 1 | 1 | 110 |
| GRAND TOTAL | 4,251 | ||||||