| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 33724 | 3070-2411 | Afnan | 16G LP Needle | 300 | 8 | 8 | 2,400 |
| 33726 | 3070-2411 | Afnan | Pivacian 5mg/ml Inj | 28 | 1 | 1 | 28 |
| 33752 | 3070-2411 | Afnan | Suction tube with younker | 400 | 1 | 1 | 400 |
| 33764 | 3070-2411 | Afnan | Toradol (Ketopan) 30mg Inj | 100 | 1 | 1 | 100 |
| 33771 | 3070-2411 | Afnan | Anaesthesia mask (child) | 610 | 1 | 1 | 610 |
| 33774 | 3070-2411 | Afnan | ETT Tube Rinforce No 4.5 | 1270 | 1 | 1 | 1,270 |
| 33789 | 3070-2411 | Afnan | Gravinate (Menhydrin) 50mg Inj | 17 | 1 | 1 | 17 |
| 33791 | 3070-2411 | Afnan | Propofal 1% Inj | 480 | 1 | 1 | 480 |
| GRAND TOTAL | 5,305 | ||||||