| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 44000 | 4475-2508 | Muhammad | Ticozid 400mg Inj | 2250 | 1 | 1 | 2,250 |
| 44040 | 4475-2508 | Muhammad | Cal-Gluconate 1g/10ml Inj | 25 | 1 | 1 | 25 |
| 44054 | 4475-2508 | Muhammad | Risek (Etipro) 40mg inj | 350 | 1 | 1 | 350 |
| 44060 | 4475-2508 | Muhammad | Urso 250mg Cap | 73 | 5 | 7 | 511 |
| 44063 | 4475-2508 | Muhammad | Colmat 1MIU Inj | 900 | 1 | 1 | 900 |
| 44073 | 4475-2508 | Muhammad | Nor Adernaline (Epinor) 4mg Inj | 350 | 1 | 1 | 350 |
| 44076 | 4475-2508 | Muhammad | K-LOT 10MG/ML Inj | 245 | 1 | 1 | 245 |
| GRAND TOTAL | 4,631 | ||||||