| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 36696 | 3577-2504 | Fazal rabi | Acylex 400 mg Tab | 28 | 13 | 13 | 364 |
| GRAND TOTAL | 364 | ||||||
| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 36696 | 3577-2504 | Fazal rabi | Acylex 400 mg Tab | 28 | 13 | 13 | 364 |
| GRAND TOTAL | 364 | ||||||