| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 35562 | 4273-2507 | Akhtar Ali | N/S 100ML Inf | 80 | 5 | 5 | 400 |
| 35563 | 4273-2507 | Akhtar Ali | N/S 500ML Inf | 100 | 5 | 5 | 500 |
| 35564 | 4273-2507 | Akhtar Ali | R/L 500ml Inf | 115 | 2 | 2 | 230 |
| 35565 | 4273-2507 | Akhtar Ali | R/L 1000ml Inf | 145 | 5 | 5 | 725 |
| 35566 | 4273-2507 | Akhtar Ali | 5% dextrose 1/2 saline 500ml Inf | 105 | 6 | 6 | 630 |
| 35567 | 4273-2507 | Akhtar Ali | 5% Dextrose 500ml Inf | 100 | 2 | 2 | 200 |
| 35568 | 4273-2507 | Akhtar Ali | 5% Dextrose 1000ml Inf | 130 | 1 | 1 | 130 |
| GRAND TOTAL | 2,815 | ||||||