| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 34722 | 2576-2309 | Ammara Sadiqui | Penro 500mg Inj | 1500 | 2 | 2 | 3,000 |
| 34738 | 2576-2309 | Ammara Sadiqui | Amgofil 300ug Inj | 1700 | 1 | 1 | 1,700 |
| 34739 | 2576-2309 | Ammara Sadiqui | Kcl 25ml Inj | 20 | 2 | 2 | 40 |
| 34742 | 2576-2309 | Ammara Sadiqui | N/S 100ML Inf | 80 | 6 | 6 | 480 |
| 34743 | 2576-2309 | Ammara Sadiqui | N/S 500ML Inf | 100 | 1 | 1 | 100 |
| 34745 | 2576-2309 | Ammara Sadiqui | R/L 500ml Inf | 115 | 2 | 2 | 230 |
| 34751 | 2576-2309 | Ammara Sadiqui | 5cc Syringe Disp | 35 | 4 | 4 | 140 |
| 34752 | 2576-2309 | Ammara Sadiqui | 10cc Syringe Disp | 70 | 3 | 3 | 210 |
| 34753 | 2576-2309 | Ammara Sadiqui | 20cc Syringe Disp | 90 | 3 | 3 | 270 |
| 34755 | 2576-2309 | Ammara Sadiqui | 1cc Syringe Disp | 20 | 1 | 1 | 20 |
| 34757 | 2576-2309 | Ammara Sadiqui | IV Set | 150 | 1 | 1 | 150 |
| 34782 | 2576-2309 | Ammara Sadiqui | Avil 25mg/ml Inj | 15 | 1 | 1 | 15 |
| 34791 | 2576-2309 | Ammara Sadiqui | 22G IV Canulla Introcan | 450 | 1 | 0 | 0 |
| 34814 | 2576-2309 | Ammara Sadiqui | Fludarabine 50mg Inj | 15000 | 1 | 1 | 15,000 |
| 34834 | 2576-2309 | Ammara Sadiqui | Lasix (Frusemide) 20mg Inj | 10 | 3 | 3 | 30 |
| GRAND TOTAL | 21,385 | ||||||