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Vaccine History
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<p>
<input type="submit" name="ctl00$ctl00$ContentPlaceHolder1$VaccineHistoryView1$btnPrint" value="Print" onclick="javascript:window.print();" id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_btnPrint" style="width:120px;" />
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<table width="800">
<tr>
<td width="267">
<span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblClientName">Charles Gaskins</span><br />
<span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblAddress">44 Acorn Circle<br />Apt 102</span><br />
<span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblcityStateZip">Towson, MD 21286</span><br />
<span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblPhone">Home Phone: (443) 341-7645</span><br />
</td>
<td width="267" align="center">
<img src="Images/logo/banfield_logo_print.jpg" /></td>
<td width="266"><h2>Preventive Care History Report</h2>
<span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblDateTime">Saturday, February 04, 2012 4:08 AM</span>
</td>
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</table>
<p></p>
<table width="800" style="border:solid thin balck;">
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<td colspan="2">Pet Information</td>
<td>Gender:</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblGender">Male</span></td>
</tr>
<tr>
<td>Name:</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblPatientName">Anubis</span></td>
<td>Color:</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblColor">Grey And White</span></td>
</tr>
<tr>
<td>Species:</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblSpecies">Canine</span></td>
<td>Birth Date:</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblBirthDate">9/10/2011</span></td>
</tr>
<tr>
<td>Breed:</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblBreed">Canadian Eskimo Dog</span></td>
<td>Weight</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblWeight">38.80lbs</span></td>
</tr>
<tr>
<td>Microchip ID:</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblMicrochip1"></span></td>
<td>Manufacturer:</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblMicrochipManfuacturer1"></span></td>
</tr>
<tr>
<td>Microchip ID:</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblMicrochip2">985121008176286</span></td>
<td>Manufacturer:</td>
<td><span id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_lblMicrochipManfuacturer2">Other/Unknown</span></td>
</tr>
</table>
<p>
<div>
<table cellspacing="0" rules="all" border="1" id="ctl00_ctl00_ContentPlaceHolder1_VaccineHistoryView1_grdVaccineHistory" style="width:800px;border-collapse:collapse;">
<tr>
<th scope="col">Description</th><th scope="col">Date Given</th><th scope="col">Date Due</th><th scope="col">Doctor</th><th scope="col">Location</th>
</tr><tr>
<td> Fecal Exam</td><td>12/10/2011</td><td>6/7/2012</td><td>Dr. Amanda Morgan</td><td>Towson</td>
</tr><tr>
<td> Hookworms</td><td>12/10/2011</td><td>6/7/2012</td><td>Dr. Amanda Morgan</td><td>Towson</td>
</tr><tr>
<td> Roundworms</td><td>12/10/2011</td><td>6/7/2012</td><td>Dr. Amanda Morgan</td><td>Towson</td>
</tr><tr>
<td> Bordetella</td><td>12/10/2011</td><td>6/7/2012</td><td>Dr. Amanda Morgan</td><td>Towson</td>
</tr><tr>
<td> Leptospirosis</td><td>12/10/2011</td><td>12/31/2011</td><td>Dr. Amanda Morgan</td><td>Towson</td>
</tr><tr>
<td> DAPP</td><td>12/10/2011</td><td>12/31/2011</td><td>Dr. Amanda Morgan</td><td>Towson</td>
</tr><tr>
<td> Corona</td><td>12/10/2011</td><td>12/31/2011</td><td>Dr. Amanda Morgan</td><td>Towson</td>
</tr><tr>
<td> Hookworms</td><td>1/27/2012</td><td>7/25/2012</td><td> </td><td>Towson</td>
</tr><tr>
<td> Fecal Exam</td><td>1/27/2012</td><td>7/25/2012</td><td> </td><td>Towson</td>
</tr><tr>
<td> Roundworms</td><td>1/27/2012</td><td>7/25/2012</td><td> </td><td>Towson</td>
</tr><tr>
<td> Heartworm Prevention</td><td>1/27/2012</td><td>2/26/2012</td><td>Dr. Alton R. Esdaile</td><td>Towson</td>
</tr><tr>
<td> Roundworms</td><td>1/27/2012</td><td>2/26/2012</td><td>Dr. Alton R. Esdaile</td><td>Towson</td>
</tr><tr>
<td> Hookworms</td><td>1/27/2012</td><td>2/26/2012</td><td>Dr. Alton R. Esdaile</td><td>Towson</td>
</tr><tr>
<td> Flea Prevention</td><td>1/27/2012</td><td>2/26/2012</td><td>Dr. Alton R. Esdaile</td><td>Towson</td>
</tr><tr>
<td> Mosquito Prevention</td><td>1/27/2012</td><td>2/26/2012</td><td>Dr. Alton R. Esdaile</td><td>Towson</td>
</tr><tr>
<td> Tick Prevention</td><td>1/27/2012</td><td>2/26/2012</td><td>Dr. Alton R. Esdaile</td><td>Towson</td>
</tr><tr>
<td> Lyme</td><td>1/27/2012</td><td>1/26/2013</td><td>Dr. Alton R. Esdaile</td><td>Towson</td>
</tr><tr>
<td> DAPP</td><td>1/27/2012</td><td>1/26/2013</td><td>Dr. Alton R. Esdaile</td><td>Towson</td>
</tr><tr>
<td> Fecal Exam</td><td>1/2/2012</td><td>6/30/2012</td><td> </td><td>Towson</td>
</tr><tr>
<td> Hookworms</td><td>1/2/2012</td><td>6/30/2012</td><td> </td><td>Towson</td>
</tr><tr>
<td> Roundworms</td><td>1/2/2012</td><td>6/30/2012</td><td> </td><td>Towson</td>
</tr><tr>
<td> Heartworm Prevention</td><td>1/2/2012</td><td>2/1/2012</td><td>Dr. Rene Varela</td><td>Towson</td>
</tr><tr>
<td> Hookworms</td><td>1/2/2012</td><td>2/1/2012</td><td>Dr. Rene Varela</td><td>Towson</td>
</tr><tr>
<td> Roundworms</td><td>1/2/2012</td><td>2/1/2012</td><td>Dr. Rene Varela</td><td>Towson</td>
</tr><tr>
<td> Lyme</td><td>1/2/2012</td><td>1/23/2012</td><td>Dr. Rene Varela</td><td>Towson</td>
</tr><tr>
<td> DAPP</td><td>1/2/2012</td><td>1/23/2012</td><td>Dr. Rene Varela</td><td>Towson</td>
</tr><tr>
<td> Leptospirosis</td><td>1/2/2012</td><td>1/1/2013</td><td>Dr. Rene Varela</td><td>Towson</td>
</tr><tr>
<td> Corona</td><td>1/2/2012</td><td>1/1/2013</td><td>Dr. Rene Varela</td><td>Towson</td>
</tr><tr>
<td> Rabies</td><td>1/2/2012</td><td>1/1/2013</td><td>Dr. Rene Varela</td><td>Towson</td>
</tr>
</table>
</div>
</p>
<p>
<span style="font-size:10.0pt;font-family:"Times New Roman","serif";
mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:
EN-US;mso-bidi-language:AR-SA">* (C) = Preventive Care information provided by Client and not administered by Banfield</span></p>
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