C09986510 / invoice 10000

Reason: V+ CCEMAppointment Notes: Eating and drinking No diarrhoea threw up yesterday morning bile and again this morning BARReason: History: Yesterday vomited after not having food - 2 mornings in a row. Has been fine since.This morning has been fine. Diet: Large breed puppy food. 160g a day. Slow feeder because he guzzles. Adds tuna or salmon in as extra topping. Has treats during the day. Sock. Coprophagia. Toileting is normal. No diarrhoea. Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs    

Reason: VacHistory:EDUF fineV+D+/ Coughing: noneCurrent Medications: none Exam:Mentation - barBCS - 5/9MM -      PM       CRT - 1-2HR -  120              RR - WNLOral - juvenile, currently teethingTemperature - dneGastrointestinal -nadIntegumentary -nadMusculoskeletal -nadAdditional findings - 2 testiclesProblem List/ Assessment: fit for vacTreatment: Vangard c4 SQ scruff Plan: C5 in 1 year--- 08/12/2025 09:15:00 AM RP5:Vaccinations - Resolved - sent sms.pr    Vital Signs    Weight: 13.4;       

Reason: Health Check / VaccinationAppointment Notes: Booked Online: 12/10/2025 10:04:55 AM- NEW CLIENT -Booking Type: VaccinationBooking Notes: 2nd dose of vaccination and health check  ------- Sms reply: YReason: Name of Client Present:TBC Nurse Initials:Client Concerns:Vaccination: (Type:     ) (Last Given:   )Parasite Prevention: (Product Name:   ) (Last Given:   )Microchip # & Behaviour Indicator filled in: Yes/NoInsurance / Healthy Pets Plus:Is patient on any medication? Yes/NoCurrent Diet:Product:Feeding schedule:Laboratory Testing Needed:_____________________________________________________________History:-BIOP 2 weeks.-Doing well at home. EDUF all good.-the only child at home so far.-Drontal at home.Examination:Mentation: BARBCS: 5/9MM: m/p       CRT: <2sHR: 120        RR: pantingLNs: all peripheral wnlOcular: pupils symmetrical Dental: deciduous dentition Ears: clean and no dischargeCardiovascular: nad, no heart murmur or arrhythmia detected. Strong syn femoral pulse.Respiratory: nad, no obvious wheeze or crackle sound detected.Abdomen: nad, soft and comfortable on palpation.Integument: healthy coatUrogenital: one testicle presentedNeurological: BAR, no overt cranial or peripheral nerve deficitMSK: ambulatory, full MSK examination not performed. Laboratory:NilAssessment:-Fits for vaccinationTreatment:Consent has been given by the client to proceed with this treatment - Yes/NoVaccinatin given: C5 (C4 + OralBB)Vaccination needed next time: C4Scripts Needed - Yes or NoRevisit Needed - Yes or No - ____ Days please--- 27/10/2025 08:25:50 AM DCO:Vaccinations - Resolved - follow up sms sent    Vital Signs