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Customer Detail

Customer Number

Company name

Company name
(Roman characters)

Contact person

Contact person
(Roman characters)

Gender

Male

Female

Address

E-mail

Phone number

Payment method

Payment on invoice

Deposit

Paypal

Settings

Show price

Price setting

JPY

Urgent price setting

Order quantity pricing

Price by language

Patient List

Patient Code	Patient Name	Age	Gender
26470125	phuoctest	26	Male