#### James Jorden

07/20/2021

+91 123456789

James.Jordern@gmail.com

Recipient
Recipient Full Name
Email
Date of birth*
Phone
Zip code
Recipient Full Name
Email
Date of birth*
Phone
Zip code

##

Strep Throat
Sinus Infection
URI-Respiratory Infection
PINK EYE
ORAL HERPES (COLD SORE)
Nausea /Vomiting
Flu (Influenza)
Allergies
Dental Infection
Acute Bronchitis
Phone Consult
Pain Relief
Pediatric
Ear Infection
Stye
Thrush (Oral)
HIV Prevention (PrEP)
HIV Exposure (PEP)
COVID-19 Rx (Paxlovid)
UTI

##

Strep Throat
Sinus Infection
URI-Respiratory Infection
PINK EYE
ORAL HERPES (COLD SORE)
Nausea /Vomiting
Flu (Influenza)
Allergies
Dental Infection
Acute Bronchitis
Phone Consult
Pain Relief
Pediatric
Ear Infection
Stye
Thrush (Oral)
HIV Prevention (PrEP)
HIV Exposure (PEP)
COVID-19 Rx (Paxlovid)
UTI

##

Vaginal yeast infection
Sexual Disorder (Women)
UTI (urinary tract infection)
Bacterial Vaginosis
Menstrual Suppression
Birth Control
Urinary Incontinence

##

Strep Throat
Sinus Infection
URI-Respiratory Infection
PINK EYE
ORAL HERPES (COLD SORE)
Nausea /Vomiting
Flu (Influenza)
Allergies
Dental Infection
Acute Bronchitis
Phone Consult
Pain Relief
Pediatric
Ear Infection
Stye
Thrush (Oral)
HIV Prevention (PrEP)
HIV Exposure (PEP)
COVID-19 Rx (Paxlovid)
UTI

##

Strep Throat
Sinus Infection
URI-Respiratory Infection
PINK EYE
ORAL HERPES (COLD SORE)
Nausea /Vomiting
Flu (Influenza)
Allergies
Dental Infection
Acute Bronchitis
Phone Consult
Pain Relief
Pediatric
Ear Infection
Stye
Thrush (Oral)
HIV Prevention (PrEP)
HIV Exposure (PEP)
COVID-19 Rx (Paxlovid)
UTI

##

Strep Throat
Sinus Infection
URI-Respiratory Infection
PINK EYE
ORAL HERPES (COLD SORE)
Nausea /Vomiting
Flu (Influenza)
Allergies
Dental Infection
Acute Bronchitis
Phone Consult
Pain Relief
Pediatric
Ear Infection
Stye
Thrush (Oral)
HIV Prevention (PrEP)
HIV Exposure (PEP)
COVID-19 Rx (Paxlovid)
UTI

##

Strep Throat
Sinus Infection
URI-Respiratory Infection
PINK EYE
ORAL HERPES (COLD SORE)
Nausea /Vomiting
Flu (Influenza)
Allergies
Dental Infection
Acute Bronchitis
Phone Consult
Pain Relief
Pediatric
Ear Infection
Stye
Thrush (Oral)
HIV Prevention (PrEP)
HIV Exposure (PEP)
COVID-19 Rx (Paxlovid)
UTI

##

Strep Throat
Sinus Infection
URI-Respiratory Infection
PINK EYE
ORAL HERPES (COLD SORE)
Nausea /Vomiting
Flu (Influenza)
Allergies
Dental Infection
Acute Bronchitis
Phone Consult
Pain Relief
Pediatric
Ear Infection
Stye
Thrush (Oral)
HIV Prevention (PrEP)
HIV Exposure (PEP)
COVID-19 Rx (Paxlovid)
UTI

Condition Name | Consultation Fees | Discount Amount | Due Amount |
--- | --- | --- | --- | ---
High Cholesterol | $39.99 | $xx.xx | $xx.xx |
Hypertension | $39.99 | $xx.xx | $xx.xx |
Pain Relief | $39.99 | $xx.xx | $xx.xx |

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