| ID |
MR# |
PATIENT NAME |
MEDICINE |
RATE |
REFUND REQUEST |
REFUNDED QTY |
TOTAL |
| 25711 |
3221-2501 |
Ameer hamza |
N/S 500ML Inf |
100 |
2 |
2 |
200 |
| 25712 |
3221-2501 |
Ameer hamza |
N/S 1000ml Inf |
120 |
4 |
4 |
480 |
| 25713 |
3221-2501 |
Ameer hamza |
R/L 500ml Inf |
115 |
2 |
2 |
230 |
| 25714 |
3221-2501 |
Ameer hamza |
R/L 1000ml Inf |
130 |
1 |
1 |
130 |
| 25719 |
3221-2501 |
Ameer hamza |
5cc Syringe Disp |
35 |
1 |
2 |
70 |
| 25720 |
3221-2501 |
Ameer hamza |
10cc Syringe Disp |
40 |
3 |
3 |
120 |
| 25726 |
3221-2501 |
Ameer hamza |
IV Set |
150 |
3 |
3 |
450 |
| GRAND TOTAL |
1,680 |