| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 36301 | 4458-2508 | Bushra Bibi | Cinvop Kit 80mg + 125 mg Cap | 3500 | 1 | 1 | 3,500 |
| 36304 | 4458-2508 | Bushra Bibi | N/S 100ML Inf | 80 | 3 | 3 | 240 |
| 36305 | 4458-2508 | Bushra Bibi | N/S 500ML Inf | 110 | 7 | 7 | 770 |
| 36306 | 4458-2508 | Bushra Bibi | R/L 1000ml Inf | 145 | 7 | 7 | 1,015 |
| 36307 | 4458-2508 | Bushra Bibi | 5% dextrose 1/2 saline 500ml Inf | 105 | 19 | 18 | 1,890 |
| 36308 | 4458-2508 | Bushra Bibi | 5% Dextrose 500ml Inf | 100 | 1 | 1 | 100 |
| 36311 | 4458-2508 | Bushra Bibi | 20cc Syringe Disp | 60 | 1 | 2 | 120 |
| 36312 | 4458-2508 | Bushra Bibi | IV Set | 150 | 1 | 1 | 150 |
| 36332 | 4458-2508 | Bushra Bibi | Ampho-B 50 mg Inj | 3000 | 2 | 2 | 6,000 |
| 36338 | 4458-2508 | Bushra Bibi | Risek (Etipro) 40mg inj | 350 | 3 | 7 | 2,450 |
| 36342 | 4458-2508 | Bushra Bibi | Cytocin 100mg Inj | 190 | 28 | 28 | 5,320 |
| 36343 | 4458-2508 | Bushra Bibi | D-Blastin 20mg Inj | 900 | 15 | 15 | 13,500 |
| 36346 | 4458-2508 | Bushra Bibi | Omotil 0.25mg/5ml Inj | 500 | 2 | 2 | 1,000 |
| 36347 | 4458-2508 | Bushra Bibi | Cytorox 1G inj | 1730 | 1 | 1 | 1,730 |
| 36354 | 4458-2508 | Bushra Bibi | Vorif 200mg Tab | 200 | 8 | 8 | 1,600 |
| GRAND TOTAL | 39,385 | ||||||