| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 57265 | 3000-2411 | Abdul Ahad | 5cc Syringe Disp | 50 | 1 | 1 | 50 |
| 57266 | 3000-2411 | Abdul Ahad | 10cc Syringe Disp | 70 | 4 | 4 | 280 |
| 57267 | 3000-2411 | Abdul Ahad | 20cc Syringe Disp | 90 | 3 | 3 | 270 |
| 57269 | 3000-2411 | Abdul Ahad | IV Set | 160 | 14 | 0 | 0 |
| 57271 | 3000-2411 | Abdul Ahad | 4*4 Surgee Gauze | 80 | 1 | 1 | 80 |
| 57274 | 3000-2411 | Abdul Ahad | Silk 2/0 Braided Round Body | 450 | 1 | 1 | 450 |
| 57275 | 3000-2411 | Abdul Ahad | 3 Way Stopper with EXT | 220 | 2 | 2 | 440 |
| 57276 | 3000-2411 | Abdul Ahad | CVP Line 7fr 2 Lemun | 5000 | 1 | 1 | 5,000 |
| 57277 | 3000-2411 | Abdul Ahad | Probe Cover | 800 | 1 | 1 | 800 |
| 57283 | 3000-2411 | Abdul Ahad | 22G IV Canulla Introcan | 450 | 2 | 2 | 900 |
| 57284 | 3000-2411 | Abdul Ahad | 7.0 Surgical Gloves | 350 | 1 | 1 | 350 |
| 57285 | 3000-2411 | Abdul Ahad | 7.5 Surgical Gloves | 350 | 1 | 1 | 350 |
| 57286 | 3000-2411 | Abdul Ahad | 8.0 Surgical Gloves | 350 | 1 | 1 | 350 |
| 57296 | 3000-2411 | Abdul Ahad | Xylocaine (Baligno) 2% Inj | 25 | 1 | 1 | 25 |
| GRAND TOTAL | 9,345 | ||||||