| ID |
MR# |
PATIENT NAME |
MEDICINE |
RATE |
REFUND REQUEST |
REFUNDED QTY |
TOTAL |
| 36482 |
3577-2504 |
Fazal rabi |
Suprimun 500mg tab |
125 |
10 |
19 |
2,375 |
| 36533 |
3577-2504 |
Fazal rabi |
Tab Folic Acid 5mg |
340 |
1 |
1 |
340 |
| 36552 |
3577-2504 |
Fazal rabi |
Fonaz Tab 150mg |
155 |
5 |
5 |
775 |
| 36591 |
3577-2504 |
Fazal rabi |
Bioral 25mg Cap |
55 |
14 |
14 |
770 |
| 36592 |
3577-2504 |
Fazal rabi |
Bioral 50mg Cap |
110 |
18 |
18 |
1,980 |
| 36593 |
3577-2504 |
Fazal rabi |
Bioral 100mg Cap |
215 |
12 |
12 |
2,580 |
| GRAND TOTAL |
8,820 |