| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 28417 | 3069-2411 | Habib Ullah | Onato 5mg tab | 9 | 5 | 5 | 45 |
| 28443 | 3069-2411 | Habib Ullah | 5% dextrose 1/2 saline 500ml Inf | 105 | 1 | 1 | 105 |
| 28448 | 3069-2411 | Habib Ullah | 5cc Syringe Disp | 35 | 3 | 3 | 105 |
| 28485 | 3069-2411 | Habib Ullah | Cal-Gluconate 1g/10ml Inj | 25 | 1 | 1 | 25 |
| 28502 | 3069-2411 | Habib Ullah | Atem Neb | 150 | 2 | 2 | 300 |
| 28511 | 3069-2411 | Habib Ullah | Provas (Fevagesic) 1g inj | 185 | 1 | 1 | 185 |
| 28544 | 3069-2411 | Habib Ullah | Azobar 500mg Tab | 55 | 4 | 4 | 220 |
| GRAND TOTAL | 985 | ||||||