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	Product	Price	Quantity	Subtotal
×	TSH - Thyroid Stimulating Hormone	$50.00	TSH - Thyroid Stimulating Hormone quantity	$50.00
×	Electrolyte Panel	$45.00	Electrolyte Panel quantity	$45.00

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Subtotal $95.00

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Subtotal	$95.00
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Total	$95.00

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Total $95.00