| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 48740 | 5763-2512 | Usman Raza | Folinic acid (Leucocin) 50mg Inj | 750 | 3 | 3 | 2,250 |
| GRAND TOTAL | 2,250 | ||||||
| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 48740 | 5763-2512 | Usman Raza | Folinic acid (Leucocin) 50mg Inj | 750 | 3 | 3 | 2,250 |
| GRAND TOTAL | 2,250 | ||||||