MIA – A1058168
Safe 11-24-2015 Brooklyn
SAFE 11/24/15
MIA – A1058168
SPAYED FEMALE, WHITE, MALTESE MIX, 11 yrs
OWNER SUR – ONHOLDHERE, HOLD FOR ID Reason PERS PROB
Intake condition EXAM REQ Intake Date 11/17/2015, From NY 11207, DueOut Date 11/17/2015,
Medical Behavior Evaluation GREEN
Medical Summary Microchip: 452F50292E Sex: Spayed Age:~11 years old Mentation: BARH Eyes: Cloudy Ears: WNL Nose: WNL Teeth: Mild gingivitis, some tartar build up Skin: WNL Hair Coat: WNL Declawed: No Any injuries: Mass on abdomen, reported to be urinating blood Behavior: Friendly, alllows all handling AMBx4 NOSF
Weight 11.2
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