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Image Product Name Model Quantity Unit Price Total
Aevit capsules #50 Aevit capsules #50
1151    Remove $15.50 $15.50
Solu-Medrol (for injection) 125mg/2ml Solu-Medrol (for injection) 125mg/2ml
619    Remove $37.50 $37.50

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Sub-Total: $53.00
Total: $53.00