my pets information · sterllization yes / no date of birth (Çѹà¡Ô´) _____ gender (à¾È)...
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Sterllization Yes / No
Date of Birth (Çѹà¡Ô) ____________Gender (à¾È) ____________________Name (ª×èÍ) _______________________
Allergies (ᾌ) ___________________
My Pets Information
ANY OTHER INFO ÃÒÂÅÐàÍÕÂà¾ÔèÁàµÔÁ
______________________________________________________________________________________
Owner’ name _____________________________
OWNER’S INFO ÃÒÂÅÐàÍÕ àŒÒ¢Í§
Address/Phone ·ÕèÍÂÙ‹/àºÍÃ� _______________________________________________________________
ID card No. _______________________________
Emergency contact person ºØ¤¤ÅµÔµ‹ÍÂÒÁ©Ø¡à©Ô¹_______________________________________________
Clinic/Vet ÌҹËÁÍ·ÕèËÒ»ÃÐÓ __________________Address/Phone ·ÕèÍÂÙ‹/àºÍÃ� _______________________________________________________________
VETERINARIAN ÊѵÇ�á¾·Â�·Õ辺»ÃÐÓ
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