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Image Product Name Model Quantity Unit Price Total
Impaza tablets #20 Impaza tablets #20
634    Remove $33.75 $33.75
Speman forte #100 Speman forte #100
641    Remove $75.00 $75.00
Lidocain 2% 2 ml #10 Lidocain 2% 2 ml #10
420    Remove $11.05 $11.05

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Sub-Total: $119.80
Total: $119.80