C09999310 / invoice 10000

Reason: CytopointAppointment Notes: Booked Online: 03/03/2026 17:56:23 PMBooking Type: VaccinationBooking Notes: Vaccines Cytopoint Owner Name: Lilli CrockerOwner Email: Lilli_grace@hotmail.comOwner Mobile Number: 0403434299Pet Name: IzzyPet Species: DogWeb BookingClient name: CrockerContact number: 0403434299Email address: Lilli_grace@hotmail.comPatient name: Izzy  ------- Sms reply: YNurse: SD History: Licking paws non stop for past weekCytopoint last year worked very wellUses malaseb occasionallyOverdue vaccinesUTD simparico TrioDiet: Leaps and bounds dry biscuits + veggies, occasional bonesExamination: See tab Laboratory: Assessment: Itchy paws - historically respond well to cytopointBrachycephalicClinically healthy otherwise on examFit for vaccTreatment: Vanguard C4 + Intraoral Cytopoint 30mgConsent has been given by the client to proceed with this treatment  -  YES Plan:Cytopoint as needed6m HC, 12m annual vacc    Vital Signs    Weight: 26.4;       HeartRate: 80;       DentalGrade: 0-1/4;       RespirationRate: pant;       CRT: <2;       MMColour: pink;       BodyScore: 5/9;           Examination (Physical)    Behavior / Attitude: BAR;       Eyes: NSF ;       Cardiovascular: clear nm/a;       Respiratory: brachycephalic, eupneoic in here;       Ears: mild ceruminous discharge BL, no evidence of OE ;       Coat & Skin: paws lick stained, no digital dermatitis or erythema rest of coat in decent conditionskin folds okay ;       Lymph/Mammary: submandibular wnl;       Joint & Gait: ambulating soundly all limbs, full exam not performed;       Oral/Dental: class III MO, mild tartar 0-1/4;