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Item Qty Price Total
MIRAHOLD BLOCK (6) 46.01 46.01
VIRACLEAN 5L 42.94 42.94
EXTRACTION FORCEPS FOR UPPER MOLARS LEFT #18 168.69 168.69
TEMPBOND TEMPRARY CEMENT 101.21 101.21
REACH TOOTHBRUSHES BETWEEN 16+ 3.07 3.07
EXTRACTION FORCEPS FOR LOWER MOLARS BROKEN DOWN CROWNS #86 168.69 168.69
Sub-total: 530.61
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