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Id:
Client No:
456789
Date&Time:
9/15/22
Name:
Bita
Homafar

Prescriptions :

Products

Dosage :

Dosage

When to Take :

When to Take

Serial No*
455
Item No*
555
Barcode:
78888
Product Name*:
Company*:
Adicator
Bottle No:
455
Size*:
20
Qty*:
Information*:
Potency:
Q
Type of Dosage:
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