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How to join 2 columns of similar data into a single column in a same excel file with same column headings using python

In this image i had 4 columns with repeated column names. i needed only 2 columns one for item and one for amount with all the values in only 2 columns.Can anyone please help me out.Thanks in advance.

数据样本

If you can read 2 columns here, read 4 columns at a time. Access by their index. Assuming it's a CSV file,

import csv
rows = []
with open('file.csv') as csvfile:
    reader = csv.reader(csvfile, ...)
    for row in reader:
         item_amount1 = row[1:3]
         item_amount2 = row[3:5]
         rows.extend([item_amount1, item_amount2])

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