Animal Medical Record Template
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Animal Medical Record
Prepared by: [YOUR NAME]
Facility: [YOUR COMPANY NAME]
Animal Information
Field | Details |
|---|---|
Animal Name: | Max |
Species: | Dog |
Breed: | Golden Retriever |
Gender: | Male |
Age: | 5 years |
Weight: | 28 kg |
Microchip Number: | 123456789ABC |
Owner Name: | Baby Bartell |
Owner Contact Information: |
Medical History
Date | Visit Purpose | Observations/Findings | Treatment Administered |
|---|---|---|---|
01/15/2089 | Annual Check-Up | Healthy, no issues | Rabies and DHPP Vaccination |
07/22/2089 | Skin Irritation | Mild dermatitis on back legs | Prescribed medicated shampoo |
Current Visit
Date: 03/20/2090
Reason for Visit: Routine dental cleaning and general health check-up.
Observations:
Teeth show moderate tartar buildup.
Otherwise healthy with no abnormalities observed.
Diagnostics:
Test | Result | Remarks |
|---|---|---|
Blood Test | Normal | No further action |
Dental X-ray | Normal | Routine cleaning recommended |
Treatment Plan
Treatment/Medication | Dosage | Duration | Remarks |
|---|---|---|---|
Dental Cleaning | N/A | Completed on 03/20/2090 | Good oral health maintained |
Medicated Shampoo | As directed | Ongoing | Use weekly for skin health |
Vaccination Record
Vaccine | Date Administered | Next Due Date |
|---|---|---|
Rabies | 01/15/2089 | 01/15/2092 |
DHPP | 01/15/2089 | 01/15/2090 |
Notes
Max is in excellent health. Schedule the next annual check-up for March 2091. Monitor oral health and provide chew toys to reduce tartar buildup.
Signature of Veterinarian: ________________________
[YOUR NAME]
03/20/2090
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