C10022515 / invoice 10000

Appointment Notes: earsSubjective: Pruritic L ear - scratching overnight, would not stop scratchingObjective: HR/PR/CV: 120 no murmer or arrythmiaMM/CRT/Hydration: pink and moistRESP/RR:regularTemp: n/tGIT/UG: nadSkin/Ears: L ear - canal clean, free from discharge and FB, ear drum intact.R ear - canal clean, free from discharge and FB, ear drum intact.M/S: ambulating normallyEyes: clearDental: All adult teeth present, no retained deciduous teethLymph Nodes: WNLBCS: 4/9Assessment: L ear pruritis, no infection or FB present.Treatment: Cortavance ear spray - apply two pumps to affected L ear SID for 7 days. Protect eyes during application.Plan:R/V if no improvement    Vital Signs    Weight: 5.21;       

Reason: Final Puppy VaxSubjective: doing well, wondering about an overbite DUDE all normal no V+ or D+ UTD with parasite control BAR, good to examine Objective: HR/PR/CV: 140, nad MM/CRT/Hydration: p + m, <2, adequate RESP/RR: normal breathing effort GIT/UG: comfortable on palpation, NSF, testicles present Skin/Ears: healthy coat M/S: ambulating wellEyes: clear and brightDental: deciduous, mild overbite, no ulcers/sores in hard palate/ not affecting eruption currently Lymph Nodes: WNLsBCS: 4/9Assessment: fit for vaccmild overbite Treatment: @Duramune C4 Triennial s/c inj Batch #5260010 21/08/2026Plan: okay to go to high traffic do areas in 2 weeks C5 in 12 months desex 5-6 monthsmonitor teeth as adult dentition erupts if causing issues might have to remove some adult teeth     Vital Signs    Weight: 3.66;       

Appointment Reason: VaccinationSubjective: 24/11/25 had C3 BIOP for 2 weeks, report he has been doing really well, DUDE all normal, no V+, some soft faeces this morning UTD with worming BAR, good to examine Objective: HR/PR/CV: 140, nad MM/CRT/Hydration: p + m, <2, adequate RESP/RR: normal breathing effort, lung fields clear GIT/UG: comfortable on palpation, no hernia, both testicles present Skin/Ears: healthy coat M/S: ambulating well Eyes: clear and bright Dental: deciduous, good occlusion Lymph Nodes: WNLsBCS: 4/9Assessment: fit for vacc Treatment: @BronchiShield Oral Batch #5245044A 16/07/2026@Duramune C4 Triennial s/c inj Batch #5260010 21/08/2026Plan: final C4 in 4 weeks, safe socialisation for 6 weeks desex @5-6 months     Vital Signs