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Image Product Name Model Quantity Unit Price Total
Omeprazole 20mg #30 Omeprazole 20mg #30
1052    Remove $7.50 $7.50
Polyoxidonium tablets 12mg #10 Polyoxidonium tablets 12mg #10
906    Remove $126.25 $126.25

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Sub-Total: $133.75
Total: $133.75