| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 54810 | 7437-2605 | Abdul Rahim | 5% dextrose 1/2 saline 500ml Inf | 120 | 1 | 1 | 120 |
| 54821 | 7437-2605 | Abdul Rahim | Amkeen 500mg Inj | 400 | 1 | 1 | 400 |
| 54831 | 7437-2605 | Abdul Rahim | Zentel 10mg Tab (kit) | 42 | 5 | 5 | 210 |
| 54840 | 7437-2605 | Abdul Rahim | Atra 10mg Cap | 85 | 8 | 0 | 0 |
| GRAND TOTAL | 730 | ||||||