| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 1960 | N/S 100ML Inf | 75 | 1 | 1 | 75 | ||
| 1961 | N/S 500ML Inf | 90 | 1 | 1 | 90 | ||
| 1968 | 10cc Syringe Disp | 30 | 3 | 3 | 90 | ||
| 1981 | Tega Dressing | 60 | 1 | 1 | 60 | ||
| 1984 | PBSC KIT (P1YA) | 50000 | 1 | 0 | 0 | ||
| GRAND TOTAL | 315 | ||||||
| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 1960 | N/S 100ML Inf | 75 | 1 | 1 | 75 | ||
| 1961 | N/S 500ML Inf | 90 | 1 | 1 | 90 | ||
| 1968 | 10cc Syringe Disp | 30 | 3 | 3 | 90 | ||
| 1981 | Tega Dressing | 60 | 1 | 1 | 60 | ||
| 1984 | PBSC KIT (P1YA) | 50000 | 1 | 0 | 0 | ||
| GRAND TOTAL | 315 | ||||||