| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 3417 | Zolrest 600mg Tab | 110 | 5 | 4 | 440 | ||
| 3419 | Mofest 400mg tab | 85 | 6 | 6 | 510 | ||
| 3424 | Acylex (Hypovir) 400mg Tab | 35 | 5 | 0 | 0 | ||
| 3432 | Kcl 25ml Inj | 18 | 1 | 1 | 18 | ||
| 3433 | N/S 100ML Inf | 75 | 4 | 4 | 300 | ||
| 3464 | Avil 25mg/ml Inj | 11 | 2 | 2 | 22 | ||
| 3466 | MGSO4 (Epsium ) 10ML Inj | 30 | 1 | 1 | 30 | ||
| 3486 | Maxolon (Clopramide) 5mg/ml Inj | 15 | 2 | 2 | 30 | ||
| 3490 | Risek 40mg Inj | 430 | 1 | 1 | 430 | ||
| 3492 | Transamine (Brino) 500mg Cap | 23 | 7 | 7 | 161 | ||
| GRAND TOTAL | 1,941 | ||||||