| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 46197 | 5392-2510 | M Sarwar | Inderal 10 mg tab | 3 | 4 | 4 | 12 |
| 46211 | 5392-2510 | M Sarwar | N/S 100ML Inf | 85 | 1 | 1 | 85 |
| 46212 | 5392-2510 | M Sarwar | N/S 500ML Inf | 110 | 4 | 4 | 440 |
| 46217 | 5392-2510 | M Sarwar | 5% dextose 100ml Inf | 85 | 1 | 1 | 85 |
| 46222 | 5392-2510 | M Sarwar | 20cc Syringe Disp | 90 | 7 | 7 | 630 |
| 46223 | 5392-2510 | M Sarwar | 1cc Syringe Disp | 20 | 3 | 3 | 60 |
| 46225 | 5392-2510 | M Sarwar | IV Set | 160 | 1 | 1 | 160 |
| 46264 | 5392-2510 | M Sarwar | Dexamedron 4mg Inj | 13 | 1 | 1 | 13 |
| 46279 | 5392-2510 | M Sarwar | Mesnal 400mg/4ml Inj | 210 | 4 | 4 | 840 |
| 46283 | 5392-2510 | M Sarwar | HiCartiff 100mg Inj | 125 | 2 | 2 | 250 |
| 46292 | 5392-2510 | M Sarwar | Bioral 50 mg Inj | 800 | 2 | 2 | 1,600 |
| 46298 | 5392-2510 | M Sarwar | DENORTA(DOSTON) 8mg Inj | 0 | 1 | 1 | 0 |
| 46313 | 5392-2510 | M Sarwar | Lasix (Frusemide) 20mg Inj | 10 | 1 | 1 | 10 |
| 46318 | 5392-2510 | M Sarwar | K-LOT 10MG/ML Inj | 260 | 1 | 1 | 260 |
| GRAND TOTAL | 4,445 | ||||||