A 12 Year old Bichon Frise mix needed an annual examination. Charges are as follows and include bloodwork and treatment for a sore on his paw:

Ape with bloodwork Chem 11,SDMA,CBC,FECAL ANTIGEN,4DX 165.00
ANNUAL PHYSICAL EXAMINATION $0.00
Nail trim with Exam $0.00
Anal Glands with Exam $0.00
Ear Cleaning with Exam $0.00
Young Adult w/4Dxplus, Chem 11, CBC, 4Dx 0.00
FecalDx Profile Puppies/Kittens O&P,Hooks,Rounds,Whips $0.00
Nolvasan Sol`n, Bottle $10.00
Animax ointment 7.5 ml $22.62