| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 40797 | 5127-2509 | Attaullah | 5% Dextrose 500ml Inf | 110 | 1 | 1 | 110 |
| 40830 | 5127-2509 | Attaullah | Ampho-B 50 mg Inj | 3000 | 1 | 1 | 3,000 |
| 40873 | 5127-2509 | Attaullah | Teph 40mg Cap | 30 | 7 | 7 | 210 |
| GRAND TOTAL | 3,320 | ||||||