| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 20591 | 2697-2402 | Saifullah | Merem 1g Inj | 1600 | 4 | 4 | 6,400 |
| GRAND TOTAL | 6,400 | ||||||
| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 20591 | 2697-2402 | Saifullah | Merem 1g Inj | 1600 | 4 | 4 | 6,400 |
| GRAND TOTAL | 6,400 | ||||||