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Image Product Name Model Quantity Unit Price Total
Hipril-A tablets 5mg #30 Hipril-A tablets 5mg #30
368    Remove $31.00 $31.00
Dilatrend tablets 25mg #30 Dilatrend tablets 25mg #30
376    Remove $64.05 $64.05

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Sub-Total: $95.05
Total: $95.05