C09989806 / invoice 10000

Reason: Blood Test / Anal GlandsAppointment Notes: Booked Online: 18/02/2026 13:32:24 PMBooking Type: VaccinationBooking Notes: Blood test Blood pressure Anal glands   ------- Sms reply: ??  ------- Sms reply: YHistory: --- 05/03/2026 09:11:51 ELN:* Soft stools   - Recently starting eating    - Intermittently   - When on hills z/d responds wellBAREDUD well, normalDIET hills z/d + purina sensitive skin and stomach salmon kibbleCSVD D+ yesALLERGIES chicken + other protein (only on salmon)MEDS no VAX KC utd - C4 duePP utd - nexgard spectra q1mHPP noTraffic light check: doneExamination: BARBCS: 5/9Oral: mild calculus on molars on both upper arcadesSkin: no lesions, no scurf or erythemaCardioresp: grade 4/6 heart murmur, lungs clear, no crackles or wheezesGI Tract: soft & comfortable, no masses palpableUrinary: bladder comfortable on palpation, external genitalia appear normalMusculoskeletal: weight bearing all 4 limbs, no stiffness or crepitus-normal ROM on both FLs and HLs-no pain elicited on spinal palpation Neuro: normal mentation, full neurological examination not performedLNs: peripheral lymph nodes are normal in size and consistency, symmetricalEars: no visible discharge or inflammation, no smellEyes: pupils same size & reactiveLaboratory: --- 05/03/2026 09:25:32 ELN:*Blood pressure reading*Position: SittingCuff site: RFLEquipment used: SunTech Vet30Size of cuff: 6-11cmStress assessment: slightly stressed, pantingAll BP measurements (mmHg):1. 208/153 (1652. 201/149 (1563. 151/111 (122)4. 168/112 (127)5. 163/134 (140)Mean BP (mmHg):178/132 (142)Assessment:1. Grade 4/6 heart murmurTreatment: 	Vaccination - Brand / Batch No / ExpiryVanguard C4 - 00304 - 11/27 - s/c between shoulder bladesPlan:Vaccination in 3 years.    Vital Signs    Weight: 9.8;