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	Product	Price	Quantity	Subtotal
	Varicella (Chickenpox Titer)	$67.99	1	$67.99	✕
	Uric Acid	$39.99	1	$39.99	✕
	Vitamin B12	$45.99	1	$45.99	✕
Coupon:

Subtotal	$153.97
Total	$153.97