| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 33069 | 3383-2502 | Hammad Khan | Ticozid 400mg Inj | 2250 | 2 | 2 | 4,500 |
| 33078 | 3383-2502 | Hammad Khan | N/S 100ML Inf | 80 | 2 | 2 | 160 |
| 33079 | 3383-2502 | Hammad Khan | N/S 500ML Inf | 100 | 3 | 3 | 300 |
| 33082 | 3383-2502 | Hammad Khan | 5% dextrose 1/2 saline 500ml Inf | 105 | 2 | 2 | 210 |
| 33086 | 3383-2502 | Hammad Khan | 5cc Syringe Disp | 35 | 5 | 5 | 175 |
| 33087 | 3383-2502 | Hammad Khan | 10cc Syringe Disp | 70 | 6 | 6 | 420 |
| 33088 | 3383-2502 | Hammad Khan | 20cc Syringe Disp | 90 | 2 | 2 | 180 |
| 33089 | 3383-2502 | Hammad Khan | 1cc Syringe Disp | 20 | 2 | 2 | 40 |
| 33092 | 3383-2502 | Hammad Khan | IV Set | 150 | 6 | 6 | 900 |
| 33093 | 3383-2502 | Hammad Khan | Trephine Needle | 5000 | 1 | 1 | 5,000 |
| 33106 | 3383-2502 | Hammad Khan | Avil 25mg/ml Inj | 15 | 1 | 1 | 15 |
| 33110 | 3383-2502 | Hammad Khan | MGSO4 (Epsium ) 10ML Inj | 30 | 1 | 1 | 30 |
| 33131 | 3383-2502 | Hammad Khan | Denorta 8mg Inj | 160 | 1 | 1 | 160 |
| GRAND TOTAL | 12,090 | ||||||