| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 52345 | 4942-2509 | Abu zar | 5% Dextrose 500ml Inf | 110 | 11 | 9 | 990 |
| GRAND TOTAL | 990 | ||||||
| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 52345 | 4942-2509 | Abu zar | 5% Dextrose 500ml Inf | 110 | 11 | 9 | 990 |
| GRAND TOTAL | 990 | ||||||