| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 40492 | 5127-2509 | Attaullah | R/L 1000ml Inf | 145 | 2 | 2 | 290 |
| 40537 | 5127-2509 | Attaullah | Risek (Etipro) 40mg inj | 350 | 1 | 1 | 350 |
| 40545 | 5127-2509 | Attaullah | Idarubicin 10mg inj | 30000 | 1 | 1 | 30,000 |
| 40546 | 5127-2509 | Attaullah | Omotil 0.25mg/5ml Inj | 500 | 1 | 1 | 500 |
| GRAND TOTAL | 31,140 | ||||||