| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 25203 | 3432-2503 | Salma bibi | Ticozid 400mg Inj | 2250 | 1 | 1 | 2,250 |
| 25210 | 3432-2503 | Salma bibi | N/S 100ML Inf | 80 | 11 | 11 | 880 |
| 25211 | 3432-2503 | Salma bibi | N/S 500ML Inf | 100 | 1 | 1 | 100 |
| 25213 | 3432-2503 | Salma bibi | R/L 1000ml Inf | 130 | 1 | 1 | 130 |
| 25214 | 3432-2503 | Salma bibi | 5% dextrose 1/2 saline 500ml Inf | 105 | 11 | 11 | 1,155 |
| 25218 | 3432-2503 | Salma bibi | 10cc Syringe Disp | 40 | 3 | 3 | 120 |
| 25219 | 3432-2503 | Salma bibi | 20cc Syringe Disp | 90 | 4 | 4 | 360 |
| 25222 | 3432-2503 | Salma bibi | IV Set | 150 | 1 | 1 | 150 |
| 25254 | 3432-2503 | Salma bibi | Merem 1g Inj | 2000 | 1 | 1 | 2,000 |
| 25256 | 3432-2503 | Salma bibi | Risek (Etipro) 40mg inj | 350 | 1 | 1 | 350 |
| 25261 | 3432-2503 | Salma bibi | Cytocin 100mg Inj | 190 | 2 | 2 | 380 |
| 25262 | 3432-2503 | Salma bibi | Cytocin 500mg Inj | 800 | 5 | 5 | 4,000 |
| 25270 | 3432-2503 | Salma bibi | Colistim 1MIU Inj | 900 | 5 | 0 | 0 |
| GRAND TOTAL | 11,875 | ||||||