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Image Product Name Model Quantity Unit Price Total
Dilatrend tablets 6,25mg #30 Dilatrend tablets 6,25mg #30
377    Remove $52.05 $52.05
Diroton tablets 2,5mg #28 Diroton tablets 2,5mg #28
380    Remove $8.65 $8.65

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Sub-Total: $60.70
Total: $60.70