C10017278 / invoice 10000

11/03/2026 REASON: eye got hit by tennis ball
Nurse: {__}
Presented by: {__}
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY: 
was playing fetch today 
was hit by the tennis ball on the L side 
was whimping intially 
no scartching noted
reddness noted on the sclera 
EDDU well 
still being himself 
-------------------------------------------------------------------------------
CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
{__}
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): {__}
BCS (1-9): {__}
DS (0-4): {__}

T: {__}
P: {__}
R: {__}

APPEARANCE/DEMEANOUR: {__}
SKIN & COAT: {__}
EARS: {__}
EYES: {__}
ORAL: {__}
MM: {__}
CVS: {__}
RESP: {__}
ABDO/GIT: {__}
UROGEN: {__}
NEURO: {__}
MSK: {__}
LN: {__}
n : Normal     - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT: 
Problems:
{__}

Ddxi:
{__}

Further Procedure & Diagnostic Needs [Client Response]:
{__}

Medication:
{__}

Ongoing medication prescriptions? Renewed prescriptions: {__}
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE: 
{__}
Finalised by {__}
Rec = Recall     Rev = Revisit     Rem = Reminder