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AS

Dr. Andrea Salazar

Owner Admin

Oreo

Vaccination visit

Finalized

May 18, 2026 · Dr. Miguel Tan

Weight

4.60 kg

Temperature

39.0 °C

Heart rate

110 bpm

Resp. rate

24 rpm

Body condition

6 / 9

Mucous membranes

Pink, moist

Cap. refill

<2 s

Hydration

Normal

Clinical note (SOAP)

Subjective
Routine vaccination visit. Pet reported well at home.
Objective
BAR. Normal vitals, good body condition. Full physical examination performed — no abnormalities detected.
Assessment
Healthy — fit for vaccination.
Plan
Vaccine administered. Next dose per schedule. Continue parasite control.

Physical examination

General / demeanour

Alert and well-hydrated. Slightly overweight — diet discussed with owner.

Eyes, ears & nose

Mild nuclear sclerosis noted in both lenses (age-related). No discharge.

Oral & dental

Moderate dental calculus; gingivitis grade 1. Dental prophylaxis recommended.

Heart & lungs

Soft grade I/VI left apical murmur — monitor; no respiratory signs.

Abdomen

Non-painful on palpation; no masses appreciated.

Skin & coat

Coat in good condition. Small benign-looking skin tag over the left flank.

Musculoskeletal / gait

Mild stiffness rising; suspect early osteoarthritis. Joint supplement advised.

Lymph nodes

Within normal limits.

Neurological

No deficits detected.

Charges · ₱450

ItemQtyUnitTotalStatus
Visit fee1₱450₱450Done

Medications

No medications prescribed.

Total₱450