C10023084 / invoice 10000

Reason: Check-Up Follow Up From AES Visit ABAppointment Notes: Hx on file AB  ------- Sms reply: YHistory: Resting a home. Crate for some time. Sleeping in bed all nightStarting to put some weight on on her left leg No vomiting or diarrhoeaGood apetite , EDDU - normal Behaviour - friendly Preventatives - NG spectra monthly Diet - Blackhawk puppy kibbleCurrent Medication - noHealth Concerns - Examination: Cardiovascular: normal cardiac sounds, rate and rhythm.  mucous membranes pink, moist, CRT 1 sec.  Respiration: normal rate and effort.  Normal bronchovesicular sounds.Eyes: NADEars: NADNose/Throat: NADOral exam: Dental grade =Abdomen: soft and pliable, no masses palpated.Integument/Coat: No signs of skin disease, no fleas seen. Musculoskeletal: normal range of motion all 4 limbs.  Moving around freely in consult.Peripheral Lymph Nodes: nad.Laboratory: Assessment: Treatment:Plan:    Vital Signs    Weight: 9.6;       

Reason: 3rd Puppy Vax. THAppointment Notes: ------- Sms reply: YHistory: Tinkerbell presented today for her 3rd puppy vax. O has not brought the vaccination hx. No abnormalities noted by ownerBehaviour - Preventatives - NGS jan 5thDiet -Current Medication - Health Concerns - Examination: Cardiovascular: normal cardiac sounds, rate and rhythm.  mucous membranes pink, moist, CRT 1 sec.  Respiration: normal rate and effort.  Normal bronchovesicular sounds.Eyes: NADEars: NADNose/Throat: NADOral exam: Dental grade = 0Abdomen: soft and pliable, no masses palpated.Integument/Coat: No signs of skin disease, no fleas seen. Musculoskeletal: normal range of motion all 4 limbs.  Moving around freely in consult.Peripheral Lymph Nodes: nad.Assessment: In good health to vaccinate.Treatment: Nobivac DHP C3 + Bb/Pi KC given. Plan:Booster C5 due in 12 months.O to bring vax book on friday to ensure we do not need any further vax.Rec desexing after 1st heat.M/C today.    Vital Signs    Weight: 5.4;       MMColour: Pink;       HeartRate: 128;       CRT: < 2 sec;