____________________________________________________________________________________________________________________
FPO - 10-02
Cod______________I.P. CRDV
„____”_______________a.20____
ora_______________
FOAIE DE ÎNSOȚIRE
a materialului patologic recoltat pentru cercetările de laborator
Se îndreaptă (cadavru, material patologic)____________________________________________
_____________________________________________________________________________
Specia, vîrsta___________________________________________________________________
Numărul animalului-crotaliei______________________________________________________
Data, ora de recoltare____________________________________________________________
Sigiliu Nr._____________________________________________________________________
Data, ora expedierii______________________________________________________________
Data îmbolnăvirii animalului______________________________________________________
Data morții____________________________________________________________________
Starea clinică___________________________________________________________________
__________________________________________________________________________________________________________________________________________________________
Date anatomopatologice__________________________________________________________
__________________________________________________________________________________________________________________________________________________________
Imunizări, tratamente efectuate și data_______________________________________________
_____________________________________________________________________________
Diagnosticul prezumtiv___________________________________________________________
Dostları ilə paylaş: | 
