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    Chloride
    2 X $18.00 = $36.00
    Complement C4
    2 X $32.50 = $65.00
    Fructosamine
    2 X $29.00 = $58.00
    Epstein Barr Viral Capsid Ag ,IgG
    2 X $46.50 = $93.00
    ANA Screen
    1 X $34.00 = $34.00
    Folate
    1 X $23.00 = $23.00
    H. Pylori Ab., IgG
    1 X $34.00 = $34.00
    Malaria Smear (Blood Parasite)
    2 X $50.00 = $100.00
    Herpes I & II IgG
    1 X $65.00 = $65.00
    Complement C3
    1 X $32.00 = $32.00
    Subtotal $540.00
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