C10031284 / invoice 10000

Reason: Check UpAppointment Notes: Paws App Details:Booking Type: Senior Check Up (Over 8 Years) With VaccineBooking Vet: - Any -Booking Notes: Check up Check Up Pet Insurance Provider & Policy No (if applicable & not provided): WoolworthsReason: DOG Senior ANNUAL Wellness > 8yrs VaccinationConsult with => History: any ongoing concerns? Going really well for age Subjective: Worming =   cazitel          Heartworm =  Proheart yearlyFlea/Tick prevention? Simparica plain Diet? Big dog, biscuits Omegas Objective:  BARBCS 4.5  out of 9MCS OK Heart fine, nil murmurDentition check- gradeLumps/ bumps?Skin/ ear/ eye checkANAL GLANDS- chk for symmetry/ any masses (80% of AGadenosarcomas have mets by time of collection)- check prostate too Assessment: - healthy dogPlan: CHECK IF C3 IS DUE! - IF DUE ->   NOBIVAC Flex DHP; Batch and expiry date (via item details) Canine cough - IN NOBIVAC KC or INJECTABLE Nobivac BB/PI2 or Canigen  KC  Batch:   and expiry date:   Leptospirosis Vacc? DISCUSS-    Low risk= decline;    high risk= yes - Any contact with rats- Any contact with stagnant water (eg ponds)- Any travel to endemic areas ? Canine Leptospirosis - Nobivac Lepto 2 - SQ ( ANNUAL BOOSTER OR #1of 2 OR #2 of 2)Batch: Expiry Date:  remember effective cover requires 2 vaccines 2-4 weeks apart, followed by a yearly boosters.PROHEART? WormingLaboratory: Senior screening blood testRecommend 6 monthly senior recheckAdvise dental care - is a dental procedure indicated?     - if so book inPRE-BOOK FOR NEXT YEAR ANNUAL WELLNESS & 6mth SENIORS    Vital Signs    Weight: 29.9;