Patient’s card
Case No.
Contact no.
Name of owner
Address
City
Species
Dog
Cat
Horse
Cattle
Buffalo
Goat & sheep
Birds
Breed
Sex
Male
Female
Age
Weight
Referred to Department
Surgery
Medicine
Gynacology
Doctor Name
Student Name
Past History
Present History
Temperature
P/R
R/R
Tentative Diagnosis
Submitted for
CBC
SGPT
SGOT
Creatinine
BUN
Serum bilirubine
USG
X-ray
Glucose
Sample Provided
Blood
Urine
Skin scrapping
Department
Prescription
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