MediCore Pharmacy
Cashier: Sarah Chen
May 17, 2026
01:20 PM
JS
John Smith
DOB: Jan 15, 1968 (58y) · Male
MRN-10234IPDWard 4B - Room 201 - Bed AAllergies: Penicillin, Sulfa drugs
Active Prescriptions
5 items
Medication
Prescribed by
Qty
Unit Price
Subtotal
Lisinopril 10mg
Tablet
Dr. Chen
$12.50
$375.00Metformin 500mg
Tablet
Dr. Chen
$8.75
$525.00Atorvastatin 20mg
Tablet
Dr. Torres
$15.00
$450.00Losartan 50mg
Tablet
Dr. Chen
$11.25
$337.50Aspirin 81mg
Tablet
Dr. Torres
$4.50
$405.005 of 5 items selected
Items Total: $2,092.50
Order Summary
Subtotal (5 items)
$2,092.50
Insurance Coverage
-$38.20
Patient Copay
$22.80
Tax (6.5%)
$3.00
Total Due
$25.80
Payment Method
Recent Transactions
10:42 AM
Completed
Maria Garcia
$34.50
10:15 AM
Completed
Robert Lee
$12.00
09:58 AM
Completed
Emily Davis
$67.25
09:30 AM
Completed
James Wilson
$8.50
09:10 AM
Completed
Anna Kowalski
$45.00