C10019484 / invoice 10000

Appointment Notes: Vaccines JSJLE: Previous diarrhoea responded well to scourban.Since then, EDFU normal, o has no other concerns.Diet: boiled chicken, steamed pumpkin, RC GI dry.Supplements: Insideout probioticsEXAM: Chip active.G3/6 systolic apical heart murmur L side Pulse: normal Rhythm: normalBilateral nuclear sclerosisGeneralised stiffness in leg.Otherwise normal exam.A: Fine for vaccPLAN: Vacc Nobivac BBPi 2526207 exp 04-2027Discussed blood tests - adv - declined until later in the year.Dispensed scourban for use in case of diarrhoeaAdv glucosamine/chondtroin ( Please given him 1000mg glucosamine daily. Occasionally glucosamine can result in diarrhoea. If this happens, trial halving his dose and gradually increasing again.)    Vital Signs    Weight: 9.1;       MMColour: Pink;       RespirationRate: 20;       HeartRate: 116;       Demeanour: QAR;       Gingivitis: 1;       Calculus: 2;       Observation: Normal;       Temperature: 38.1;       BodyScore: 5;       DentalGrade: 1;       CRT: 1-2;