| ID | MR# | PATIENT NAME | MEDICINE | RATE | REFUND REQUEST | REFUNDED QTY | TOTAL |
|---|---|---|---|---|---|---|---|
| 61690 | 5704-2512 | Niaz Ahmad | 10cc Syringe Disp | 70 | 18 | 18 | 1,260 |
| 61698 | 5704-2512 | Niaz Ahmad | 16G LP Needle | 380 | 26 | 28 | 10,640 |
| 61699 | 5704-2512 | Niaz Ahmad | 6.5 Surgical Gloves | 350 | 2 | 2 | 700 |
| 61714 | 5704-2512 | Niaz Ahmad | 3 Way Stopper (Nepro) | 200 | 1 | 0 | 0 |
| 61728 | 5704-2512 | Niaz Ahmad | Isoflurane Solution 100 ml | 3700 | 1 | 1 | 3,700 |
| 61739 | 5704-2512 | Niaz Ahmad | 8.0 Surgical Gloves | 350 | 2 | 2 | 700 |
| 61753 | 5704-2512 | Niaz Ahmad | Blood bag (Single) | 500 | 1 | 1 | 500 |
| GRAND TOTAL | 17,500 | ||||||