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    Thyroxine (T4) Total
    2 X $30.00 = $60.00
    Uric Acid, Serum
    1 X $18.00 = $18.00
    ABO Group & RH Type
    1 X $30.00 = $30.00
    STD Panel
    1 X $84.00 = $84.00
    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Tissue Transglutaminase IgA
    1 X $41.50 = $41.50
    Subtotal $262.50
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