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 Veterinarian Information  Pet's Serial Number: 98567
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 Veterinarian Name  Sample Veterinarian Name  Phone  123-456-7890
 Clinic  Sample Clinic Name  Fax  123-456-7890
 Address  1234 Mockingbird Lane  E-mail  Sample@email.com
 City  Tulsa  State  Oklahoma  ZIP  56789
 
 Pet Information  
 Name  Royal  Breed  Weimaraner
 Color  Gray  Weight (lbs)  45
 Birthday (mm/dd/yy)  8/24/2001  Spayed/Neutered  Yes
 Sex  Female  Rabies ID  49124
 Species  Canine  Microchip  FR93329
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 Appointments  less detail less detail
Date Time  Doctor    
02/19/2009 10:30 AM John Smith, DVM  
 Reminders  less detail less detail
Date Due    Description    
12/31/2005   Physical Exam   Request an Appointment Request an Appointment
12/15/2004   DIST-HEP-PARA-PARVO   Request an Appointment Request an Appointment
10/19/2003   Rabies-Canine-rr-, #4124   Request an Appointment Request an Appointment
 Vaccinations  less detail less detail
Date Given Time Given  Description / Details Qty  Note
12/31/2003 11:11AM DIST-HEP-PARA-PARVO 1
12/31/2003 11:11AM Rabies-Canine-rr-, #4124 1
 Medications  less detail less detail
Date Given Time Given  Description / Details Qty  Note
7/8/2004 11:12AM Clavamox 15 ml. #16855
Request a Refill Request a Refill		 8 Create Alert Give 1/2 ml every 12 hours, by mouth. REFRIGERATE! Shake Well!
7/7/2004 11:38AM Metacam 0.4mg/ml #16843
Request a Refill Request a Refill		 15 Create Alert Give 1 cc 1st day then, 1/2 cc once daily. Orally Shake well. Refrigerate. (9.3 cc)
3/4/2004 10:58AM Cestex 25 mg-for tapeworm
Request a Refill Request a Refill		 90 Create Alert Give 1 tablet for tapes. Repeat if see again.
12/31/2003 11:12AM Nemex 12.5 mg/ml 1/2 oz. #14089
Request a Refill Request a Refill		 25 Create Alert Give 1 cc per 5 lbs. ORALLY! Repeat in every 2 weeks 3 times mo. of age then once monthly. SHAKE WELL! Gets hook & round worms.
 Chronological  less detail less detail
Date Given Time Given  Description / Details Qty  Note
8/6/2004 10:26AM Revolution-Lavender (45-50 lbs) #17371 1 Apply 1 application monthly, to back of neck. For heartworms, ticks, fleas, ear mites, and sarcoptic mange
8/6/2004 10:26AM Periodontal Disease 1 Click here for more information.
8/6/2004 10:27AM Greenies Petite 1
7/8/2004 12:34PM Brief Wellness
Click here for Details		 1 See Details
7/8/2004 11:15AM Anterior Cruciate Rupture - Right 1
7/8/2004 11:15AM Patellar Luxation - Bilateral ** 1
7/8/2004 11:12AM Clavamox 15 ml. #16855 1 Give 1/2 ml every 12 hours, by mouth. REFRIGERATE! Shake Well!
7/8/2004 11:11AM Notes to record 1 Restrict activity for 14 days. May do left knee in 6 weeks.
7/8/2004 11:09AM Pulse oximeter- 1
7/8/2004 11:09AM ELECTROCARDIOGRAM-monitor 1
7/8/2004 11:09AM Electrolytes 1
7/8/2004 11:09AM MiniProfile 2 1
7/8/2004 11:09AM Mini-Profile Results 1
7/8/2004 11:09AM Complete Blood Cell Count - Laser Cyte 1
7/8/2004 11:09AM Atropine inj 1
7/8/2004 11:09AM Injection for pain-Torb 1
7/8/2004 11:09AM Diazepam-Ketamine 1
7/8/2004 11:09AM Additional Anesthesia SEVO-60 min. 2
7/8/2004 11:09AM Patella-surgery for luxation 1 Partial torn cruciate. Deepened trochlear groove, stabilized joint and tightened patella
7/7/2004 11:38AM Metacam 0.4mg/ml #16843 1 Give 1 cc 1st day then, 1/2 cc once daily. Orally Shake well. Refrigerate. (9.3 cc)
7/7/2004 11:37AM Patient check-in 1
7/7/2004 11:30AM Revolution-Lavender (45-50 lbs) 1
7/7/2004 11:28AM Doctors Comprehensive Physical 1
7/7/2004 11:18AM Capstar 2-25# (6 pk) 1 Give one tablet for fleas. Kills 100% of fleas in 4-6 hrs. Lasts 36 hrs. Repeat in 36 hours if needed.
6/4/2004 9:30AM Revolution-Lavender (45-50 lbs) #16202 1 Apply 1 application monthly, to back of neck. For heartworms, ticks, fleas, ear mites, and sarcoptic mange
5/3/2004 10:31AM Revolution-Lavender (45-50 lbs) #15726 1 Apply 1 application monthly, to back of neck. For heartworms,ticks, fleas, ear mites, and sarcoptic mange
3/24/2004 5:44PM By: JO, SPAY <25# 1 AD: 03-24-04 at 5:44p: Doing wonderful
3/17/2004 3:45PM Coupon 1
3/17/2004 2:31PM Diazepam-Ketamine 1
3/17/2004 2:31PM Pulse oximeter- 1
3/17/2004 2:31PM ELECTROCARDIOGRAM-monitor 1
3/17/2004 2:31PM SPAY <25# 1
3/17/2004 2:31PM Injection for pain-Torb per 30 lbs. 1
3/17/2004 2:31PM Extraction Adult Canine-simple/each 4
3/17/2004 2:31PM Metacam 0.2mg/ml 1 Give 2 cc 1st day then, 1 cc once daily. Orally. Shake well. Refrigerate.
3/17/2004 1:10PM Electrocardiogram-preanesthesi 1
3/17/2004 1:09PM Electrolytes 1
3/17/2004 1:09PM MiniProfile 2 1
3/17/2004 1:09PM Mini-Profile Results 1
3/17/2004 1:09PM Complete Blood Cell Count - Laser Cyte 1
3/4/2004 10:58AM Doctors Exam Brief 1
3/4/2004 10:58AM Pedicure w/Assistace 1
3/4/2004 10:58AM Malacetic wipes 1
3/4/2004 10:58AM Cestex 25 mg-for tapeworm 1 Give 1 tablet for tapes. Repeat if see again.
12/31/2003 11:12AM Nemex 12.5 mg/ml 1/2 oz. #14089 1 Give 1 cc per 5 lbs. ORALLY! Repeat in every 2 weeks 3 times mo. of age then once monthly. SHAKE WELL! Gets hook & round worms.
12/31/2003 11:11AM Puppy Physical Exam 1
12/31/2003 11:11AM DIST-HEP-PARA-PARVO 1
12/31/2003 11:11AM Rabies-Canine-rr-, #4124 1
12/31/2003 11:11AM Intestinal parasite exam- 1
 Injections  less detail less detail
Date Given Time Given  Description / Details Qty  Note
7/8/2004 11:09AM Injection for pain-Torb 1
3/17/2004 2:31PM Injection for pain-Torb per 30 lbs. 1
 Laboratory  less detail less detail
Date Given Time Given  Description / Details Qty  Note
7/8/2004 12:34PM Brief Wellness
Click here for Details		 1 See Details
7/8/2004 11:09AM ELECTROCARDIOGRAM-monitor 1
7/8/2004 11:09AM Electrolytes 1
7/8/2004 11:09AM MiniProfile 2 1
7/8/2004 11:09AM Mini-Profile Results 1
7/8/2004 11:09AM Complete Blood Cell Count - Laser Cyte 1
3/17/2004 2:31PM ELECTROCARDIOGRAM-monitor 1
3/17/2004 1:10PM Electrocardiogram-preanesthesi 1
3/17/2004 1:09PM Electrolytes 1
3/17/2004 1:09PM MiniProfile 2 1
3/17/2004 1:09PM Mini-Profile Results 1
3/17/2004 1:09PM Complete Blood Cell Count - Laser Cyte 1
 Surgeries  less detail less detail
Date Given Time Given  Description / Details Qty  Note
7/8/2004 11:09AM Patella-surgery for luxation 1 Partial torn cruciate. Deepened trochlear groove, stabilized joint and tightened patella
3/17/2004 2:31PM SPAY <25# 1
 
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