| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 47690 | 4142-2507 | Ibad Shah | Ampho-B 50 mg Inj | 3000 | 1 | 1 | 3,000 |
| 47721 | 4142-2507 | Ibad Shah | Fludarabine 50mg Inj | 15500 | 1 | 1 | 15,500 |
| 47732 | 4142-2507 | Ibad Shah | Acylex 60ml Syp | 500 | 2 | 2 | 1,000 |
| GRAND TOTAL | 19,500 | ||||||