| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 35130 | 3577-2504 | Fazal rabi | N/S 100ML Inf | 80 | 1 | 1 | 80 |
| 35132 | 3577-2504 | Fazal rabi | N/S 1000ml Inf | 120 | 1 | 1 | 120 |
| 35144 | 3577-2504 | Fazal rabi | 16G LP Needle | 300 | 3 | 3 | 900 |
| 35145 | 3577-2504 | Fazal rabi | 6.5 Surgical Gloves | 350 | 1 | 1 | 350 |
| 35148 | 3577-2504 | Fazal rabi | 4*4 Surgee Gauze | 80 | 2 | 2 | 160 |
| 35160 | 3577-2504 | Fazal rabi | 3 Way Stopper Nepro | 150 | 1 | 1 | 150 |
| 35162 | 3577-2504 | Fazal rabi | Vent Fillter | 1000 | 1 | 1 | 1,000 |
| 35187 | 3577-2504 | Fazal rabi | ETT Tube Ringforce No 6 | 1270 | 1 | 0 | 0 |
| 35191 | 3577-2504 | Fazal rabi | ETT Tube Ringforce No 6.5 | 1270 | 1 | 1 | 1,270 |
| 35194 | 3577-2504 | Fazal rabi | Vasparin 25000iu/5ml inj | 1300 | 2 | 2 | 2,600 |
| 35203 | 3577-2504 | Fazal rabi | Propofal 1% Inj | 480 | 1 | 1 | 480 |
| GRAND TOTAL | 7,110 | ||||||