| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 2817 | N/S 100ML Inf | 75 | 2 | 2 | 150 | ||
| 2818 | N/S 500ML Inf | 90 | 1 | 1 | 90 | ||
| 2819 | 5% dextrose 1/2 saline 500ml Inf | 100 | 1 | 0 | 0 | ||
| 2821 | 5cc Syringe Disp | 25 | 1 | 1 | 25 | ||
| 2822 | 10cc Syringe Disp | 30 | 1 | 1 | 30 | ||
| 2823 | 1cc Syringe Disp | 17 | 3 | 3 | 51 | ||
| 2832 | Dexamedron 4mg Inj | 12 | 1 | 1 | 12 | ||
| 2834 | Onset 8 mg INJ | 170 | 2 | 2 | 340 | ||
| GRAND TOTAL | 698 | ||||||