Spreadsheet: 54a21df0-a16f-4e1b-963b-28903d49e474
Sheet: Sheet1

Unnamed: 0 | Check in time:__________  Appt Time: __________   Check Out Time:__________  Dr.______________  Tech:___________ | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19
 | Client Number:_________________  Owners Name:________________________ [NAME]:_________________________
 | Date: ____________      # of Transactions: _________________  Receptionist: __________________________________
 | PROFESSIONAL SERVICES: |  |  | X | UNIT | OUTSIDE LAB |  |  |  |  | SURG/DENT PROCEDURES |  |  | X | UNIT
 | PS___ | Exam | Phys/med exam |  |  | 85424 | Basic Blood w/HWT |  |  |  |  | Surgery Type: ST, OR, EM
 |  |  |  |  |  | 86092 | Basic Blood w/HWT and Fecal |  |  |  | SR60C | Surgery Room/ Supplies
 | OS2A | Second Pet Discount |  |  |  | SA055 | Basic Bld/ Hlth Scrn |  |  |  | [NAME] | [NAME].
 |  |  |  |  |  | SA020 | [NAME] Screen |  |  |  |  | Estrus/ Preg Charge
 | WELLNESS PLANS |  |  | X | UNIT | 1620 | Compr Bld/ Urine Hlth Scrn |  |  |  | DN1A | Dental Cleaning
 | PWP | Pup Well Plan Visit # 1 |  |  |  | SA120 | Compr [NAME] |  |  |  | DN2 | Dental (Add on)
 | PWP5PAY | Pup Well Plan #  2    3   4    5 |  |  |  | T805 | Fecal Centrifugation |  |  |  | DNX | Dental Extractions
 | KWP | Kit Well Plan Visit # 1 |  |  |  | T615 | Heartworm Test |  |  |  | DN18 | Fluoride Tx w/ Dental
 | KWP5PAY | Kit Well Plan  #   2   3    4    5 |  |  |  | ADD70 | Add on Heartworm test
 | K9WP | Canine Wellness Plan |  |  |  | T760 | Urinalysis (U/A)-Outside
 | K9DP | Canine Dental Plan |  |  |  | ADD220 | Add on Urinalysis |  |  |  | ANESTHESIA |  |  | X | UNIT
 | K9SRWP | Canine Senior Plan |  |  |  | SA260 | Felv/Fiv test | TOTAL HEALTH W/FELV,FIV,FIP,T4 |  |  | AN001 | Iso Inhalation Anesth
 | KSDP | Canine Senior Dental Plan |  |  |  | T495 | Thyroid Level - T4 |  |  |  | AN002 | [NAME],ext-1/2 hr
 | FWP | Feline Wellness Plan |  |  |  |  | Thyroid Panel: ________ |  |  |  | PREA | Pre-Anesth Inject
 | FDP | Feline Dental Plan |  |  |  | ADD190 | Add on Total T4 |  |  |  | IND | [NAME]
 | FWPSR | Feline Senior Plan |  |  |  | T750 | Phenobarb Level |  |  |  | AN006 | [NAME] hr
 | FSDP | Feline Senior Dental Plan |  |  |  | CYTO | Cytology  per 1 site |  |  |  | RADIOGRAPHS |  |  | X | UNIT
 | CAT VACCINES |  |  | X | UNIT | FBX | Biopsy |  |  |  | XR005 | Initial Plate w/review
 | VC300 | FVRCP Booster |  |  |  | FBX ADD | Biops Each  addit Site |  |  |  | XR006 | 2nd  view
 | [NAME] | FVRCP Annual |  |  |  | FLUA | [NAME]: ______ |  |  |  | XR3+ | 3rd view and more
 | [NAME] | FELV Booster |  |  |  |  | Culture: Type:____________ |  |  |  | XR007 | [NAME]/review
 | VC303 | FELV Annual |  |  |  | HS | Health Screen |  |  |  | XR12 | Dental x-rays (3 views)
 | VC100PV | Purevax Rabies 1 year |  |  |  | HHS | Heartworm Health Screen |  |  |  | [NAME] | Dental x-rays, 4 +
 | DOG VACCINES |  |  | X | UNIT | SHHS | Sr. Heartworm Health Screen |  |  |  | XRD | Interp not requested
 | VC100 | Rabies 1 Yr |  |  |  |  |  |  |  |  | INJECTIONS/ MISC SERVICES |  |  |  | UNIT
 | VC101 | Rabies 3 Yr
 | VC207 | Bordetella Booster Nasal
 | [NAME] | Bordetella Annual Nasal |  |  |  | LAB & DIAGNOSTICS |  |  | X | UNIT
 | VC208B | Bordetella Booster Inject |  |  |  | BD001 | Blood Draw Fee
 | VC208 | Bordetella Annual Inject |  |  |  | MW001 | Medical Waste
 | VC203 | [NAME] |  |  |  | [NAME] | Cystocentesis
 | [NAME] | Corona Annual |  |  |  | TX8 | Urinary Catheter
 | VC200 | DHPP Booster |  |  |  | TREATMENTS |  |  | X | UNIT
 | VC201 | DHPP Annual |  |  |  | AR001 | Additional Restraint
 | VC404 | Lepto Booster 4 way |  |  |  | TX1 | Anal Gland: Express |  |  |  | MEDS/SUPPLIES |  |  | X | UNIT
 | VC405 | Lepto Annual 4 way |  |  |  | TX1P | Anal Gland -  Infuse
 | VC205 | Lyme Booster |  |  |  | TX2 | Bandage Small
 | [NAME] | Lyme Annual |  |  |  | TX3 | Bandage Large
 | IN HOUSE |  |  | X | UNIT | [NAME] | Catheter. I.V.
 | LS031 | Basic Bld/ Hlth Scrn |  |  |  |  | Clip/ Scrub: Level 1,  2,  3,  4
 | LS2 | [NAME] | Total Health Screen |  |  |  | Ear Clean: Level  1,  2,  3,  4
 | LS3 | Diagnostic Health Screen |  |  |  | TX13 | [NAME]
 | LS0331 | Heartworm Test |  |  |  | TX14 | Fluids I.V.
 | [NAME] | Fecal (Float) |  |  |  | [NAME] | Fluids I.V. w/ Catheter
 | LS017 | Fecal (Float): [NAME] |  |  |  | TX8M | I.V.  Infusion Pump
 | LS0016 | Fecal Exam (Direct) |  |  |  | HS001 | Hospitalization   1st Day
 | LS054 | Urinalysis |  |  |  | HS003 | Hospitalization 2 + Days
 | LSI23 | FeLV/FIV/HWA |  |  |  | HS002 | Hospitalization 1/2 Day
 | DS | Dermatitis Screen | Cytology (Outside) |  |  | PS14 | Nursing Care |  |  |  | RECOMMENDED SERVICES |  |  | X | UNIT
 | [NAME] | Ear Cytology |  |  |  | OTO | Otoscopic Evaluation
 | SKC | Skin Cytology |  |  |  | OPT | Ophthomalogic Evaluation
 | LS047 | [NAME] |  |  |  | POX | [NAME] |  |  |  | DN7 | Dental
 | LS0015 | Ear Swab for [NAME] |  |  |  | DPT | Proced/ tx time (mins): Dr. |  |  |  | RSN | [NAME]
 | WDL | Woods Lamp |  |  |  | TPT | Proced/ tx time (mins):Tech |  |  |  | OTHER SERVICES |  |  | X | UNIT
 | LS025 | Fungal Culture |  |  |  | VAPT | Proced/ tx time (mins): V.A. |  |  |  | CALL BACK:  ___________# ____ DAYS
 | LS002 | Fine Needle Aspirate (FNA) |  |  |  | TX20 | Suture Removal
 | NACC | FNA & Cytology |  |  |  | TX200 | Staple Removal |  |  |  | PS0__ | Recheck   7  10  14  21  days
 | LS32A | Glucose |  |  |  | TX17 | [NAME]
 | LS057 | Parvo Test |  |  |  | TNT01 | [NAME] SX |  |  |  | OS9 | Enter Weight
 | LS034 | PCV/TS |  |  |  | BOARDING/GROOMING |  |  | X | UNIT
 | RES | Eye Screen |  |  |  | BD004 | Board Dog/day |  |  |  | E&C |  |  | X | UNIT
 | LS024 | [NAME] |  |  |  | BD010 | Board Cat/ day |  |  |  | EC1 | Euth
 | [NAME] | Schirmer Tear Test |  |  |  | BD012 | Board w/ med |  |  |  | EC2 | [NAME] < 90
 | TO102 | Tonometry |  |  |  |  | [NAME] : Breed ________ |  |  |  | EC3 | [NAME]
 | HIS | Medical Health Screen |  |  |  |  | Bath     _______ [NAME]'s |  |  |  |  | Private Cremation
 | CMHS | Comprehensive Health Screen |  |  |  |  |  |  |  |  | EC02 | Euthanasia Consult
 | BPT | Blood Pressure
 | Pills: | 1) 1 Tb Sid, 2) 1/4 Tb Bid, 3) 1/2 Tb Bid, 4) 1 Tb Bid, 5) 1 1/2 Tb Bid, 6) 2 Tb Bid, 7) 1/2 Tb Tid, 8) 1 Tb Tid, 9) 1/2 ml Bid, 10) 1 ml Bid
 | Pred: | 9) 1 Tb Bid x 3 Dys, 1 Sid x 3 Dys, 1 Eod unitl gone, 10) 1 Tb Bid for 5 Dys,  1 Sid x 5 Dys,  1 Eod untill gone, 11) = 1/2 of #9, 12) =1/2 of # 10
 | EENT | 13) 5 drops a.u. Bid x14 Days, then Recheck, 14) Cleanse ears 2x / Wk x 3wks, then monthly, 15) 1 drop o.u. Bid x 10 days,
 | Rx:
 | Rx:
 | Rx: