| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 35955 | 2812-2409 | Seher shehzadi | N/S 100ML Inf | 80 | 2 | 2 | 160 |
| 35956 | 2812-2409 | Seher shehzadi | N/S 500ML Inf | 110 | 1 | 1 | 110 |
| 35967 | 2812-2409 | Seher shehzadi | 5cc Syringe Disp | 35 | 3 | 3 | 105 |
| 35968 | 2812-2409 | Seher shehzadi | 10cc Syringe Disp | 70 | 7 | 7 | 490 |
| 35969 | 2812-2409 | Seher shehzadi | 20cc Syringe Disp | 60 | 4 | 4 | 240 |
| 35973 | 2812-2409 | Seher shehzadi | IV Set | 150 | 4 | 4 | 600 |
| 35978 | 2812-2409 | Seher shehzadi | 4*4 Surgee Gauze | 80 | 2 | 2 | 160 |
| 35985 | 2812-2409 | Seher shehzadi | 3 Way Stopper with EXT | 175 | 1 | 1 | 175 |
| 36029 | 2812-2409 | Seher shehzadi | Provas (Fevagesic) 1g inj | 185 | 1 | 1 | 185 |
| 36067 | 2812-2409 | Seher shehzadi | Kefcef 1g Inj | 450 | 2 | 2 | 900 |
| GRAND TOTAL | 3,125 | ||||||