C09977541 / invoice 10000

Reason: Ears Appointment Notes: Overdue remindersReason: History:  Has stopped apoquel 16mg  with the diarrhoea episode and the skin allergy came back with paw licking  ad otitis externa The diarrhoea has resolved still on ocean fish dry  food and gastrointertinal dry food, still going 1/2 of both dietUssually he get skin and otitis all aroun the years, so recc starting back on apoquel, if diarrhoea comes back recc TAHP blood to look at WBC on regular dose of apoquel Examination: Limited examination, not very cooperative Owner held the head for ear swabLaboratory:  bilateral ear swab- yeast 2+ in both ears, no cocci seen Assessment:  environtmental and food allergy dermatitis and otitis, recc resrating apoquel Treatment: Consent has been given by the client to proceed with this treatment  -  YesScript given for apoquel 16 mg  1 tab bid for 7 days, then 1 tab sid on going, recc TAHP yearly or with anyother clinical signs to monitor WBC levels on  Dermotic 40mg 1 ml in both ears Plan:Request for Supply of Prescription MedicationSupplier:Date:                             03/03/2026Client Name:               Mr  Anuj  Sharma                                        139 Rutherford Road                                        VIEWBANK VIC 3084                                       PH:  Mobile	0405 593 914Email	anuj.sharma.au@gmail.comPatient Name:          Kobe  #7996449Species:                    dogGender:                     Male DOB:                          12/03/2020Please supply the following to Mr Sharma for the express purpose of treating Kobe# of items Dispensed:Rx:	Apoquel 16 mg Mitte:	1 bottle of 100 tabletsDirections:                   Give 1 tablet twice daily for 7 days, then 1 tablet once daily long term                                         …..…………………………………………………………5 REPEATSKEEP OUT OF REACH OF CHILDRENFOR ANIMAL TREATMENT ONLYVet Signature: ………………………………………….Vet Name: Dr Sugumar Subramaniam DVM V8866 # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # #    Vital Signs