| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 55835 | 6096-2601 | Rabia Kanwal | N/S 100ML Inf | 85 | 1 | 1 | 85 |
| 55876 | 6096-2601 | Rabia Kanwal | Avil 25mg/ml Inj | 20 | 3 | 1 | 20 |
| 55884 | 6096-2601 | Rabia Kanwal | Dexamedron 4mg Inj | 15 | 5 | 5 | 75 |
| 55908 | 6096-2601 | Rabia Kanwal | Xolid 600mg(Linzy) Inj | 800 | 2 | 2 | 1,600 |
| 55920 | 6096-2601 | Rabia Kanwal | Lasix (Frusemide) 20mg Inj | 10 | 4 | 2 | 20 |
| 55923 | 6096-2601 | Rabia Kanwal | Cilapen 500mg Inj | 1400 | 2 | 2 | 2,800 |
| GRAND TOTAL | 4,600 | ||||||