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Image Product Name Model Quantity Unit Price Total
Tenoric 100/25mg #28 Tenoric 100/25mg #28
472    Remove $10.05 $10.05
Anaprilin 40mg #50 Anaprilin 40mg #50
336    Remove $5.75 $5.75
Berlipril tablets 20mg #30 Berlipril tablets 20mg #30
352    Remove $11.30 $11.30
Betaloc Zok 50mg #30 Betaloc Zok 50mg #30
354    Remove $23.25 $23.25
Effox Long tablets 50mg #30 Effox Long tablets 50mg #30
498    Remove $28.05 $28.05
Diacordin 120mg #30 Diacordin 120mg #30
370    Remove $20.20 $20.20

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Sub-Total: $98.60
Total: $98.60