| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 60097 | 7001-2603 | Yashfa Noor | 10cc Syringe Disp | 70 | 5 | 5 | 350 |
| 60103 | 7001-2603 | Yashfa Noor | 6.5 Surgical Gloves | 350 | 1 | 1 | 350 |
| 60105 | 7001-2603 | Yashfa Noor | 4*4 Surgee Gauze | 80 | 1 | 1 | 80 |
| GRAND TOTAL | 780 | ||||||