C10004082 / invoice 10000

Species:CANINE
Breed:French Bulldog
Age (years):8
Diagnosis or signs:Eye recheck
Consult notes
ANIMAL PRESCRIPTION
This prescription is for ANIMAL USE ONLY

PRESCRIPTION MEDICINE

Rx: Chlorsig Eye Drops 0.5% 10mL - Chloramphenicol
Mitte: 1 bottle
Sig: Apply 1 drop to right eye 4-6 times daily

Number of repeat supplies: 2
Precautions: nil



Hx;
here for rechck of eyes
O has still noticed right eye is squinting still
O has been apply chlorsig eye drops to the right eye
Has been appllying pred forte drops to left eye

PE:
Left eye- normal 
RIght eye- Fl positive- pin prick - exact same as previously , conjunctival hyperemia

Assessment:
No change in pin prick ulcer - seems like a corneal scar maybe present 

Tried to do debridement of ulcer but wont tolerate

Started on ocuflox and chlrosig six times daily
Start on meloxicam 

RV in 2 weeks

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 09:40:00
ANIMAL PRESCRIPTION
This prescription is for ANIMAL USE ONLY

PRESCRIPTION MEDICINE

Rx: Chlorsig Eye Drops 0.5% 10mL - Chloramphenicol
Mitte: 1 bottle
Sig: Apply 1 drop to right eye 4-6 times daily

Number of repeat supplies: 2
Precautions: nil



Hx;
here for rechck of eyes
O has still noticed right eye is squinting still
O has been apply chlorsig eye drops to the right eye
Has been appllying pred forte drops to left eye

PE:
Left eye- normal 
RIght eye- Fl positive- pin prick - exact same as previously , conjunctival hyperemia

Assessment:
No change in pin prick ulcer - seems like a corneal scar maybe present 

Tried to do debridement of ulcer but wont tolerate

Started on ocuflox and chlrosig six times daily
Start on meloxicam 

RV in 2 weeks

Previous claim history (8)

DateClaim #Diagnosis
2026-02-24C09947348CORNEAL ULCER
2026-02-06C09865632CORNEAL ULCER
2025-12-31C09696355LETHARGY - PRESENTING COMPLAINT
2025-12-29C09685355CORNEAL ULCER
2025-12-23C09670914CORNEAL ULCER
2025-12-22C09661299CORNEAL ULCER
2022-09-08C5765560STENOTIC NARES
2022-09-08C5765560BACK PAIN

Line items(lines with upstream diagnosis are skipped by the model)

LinetstarcAmountDateUpstream diagnosis
10000tstarc_eye_medication_-_topical_antibiotics80.652026-03-09
20000tstarc_diagnostic_test_-_fluorescein_eye_stain35.002026-03-09
30000tstarc_consultation-revisit75.002026-03-09
40000tstarc_procedure_fee35.002026-03-09

UPM+

  • DG00543CORNEAL ULCERDSTP_eye_-_corneal_ulcer

Variant (sleepy_king)

CORNEAL ULCER
DSTP_eye_-_corneal_ulcer
Conf: 0.970
Threshold: 0.26
Above:
Correct?