| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 59603 | 2749-2405 | M Essa Zaheer | N/S 100ML Inf | 85 | 6 | 3 | 255 |
| 59607 | 2749-2405 | M Essa Zaheer | 5% dextose 100ml Inf | 85 | 6 | 6 | 510 |
| 59608 | 2749-2405 | M Essa Zaheer | 5% Dextrose 500ml Inf | 110 | 1 | 1 | 110 |
| 59609 | 2749-2405 | M Essa Zaheer | 24G IV Canulla Introcan | 400 | 1 | 1 | 400 |
| 59612 | 2749-2405 | M Essa Zaheer | 20cc Syringe Disp | 90 | 9 | 9 | 810 |
| 59613 | 2749-2405 | M Essa Zaheer | 1cc Syringe Disp | 25 | 1 | 1 | 25 |
| 59655 | 2749-2405 | M Essa Zaheer | 7.5 Surgical Gloves | 350 | 1 | 0 | 0 |
| 59662 | 2749-2405 | M Essa Zaheer | Provas (Fevagesic) Inj 1 gm | 200 | 3 | 1 | 200 |
| GRAND TOTAL | 2,310 | ||||||