Page 594 - The Veterinary Laboratory and Field Manual 3rd Edition
P. 594
Sample submission form
DATE: CODE:
Submitter reference:
Owner name & address:
Laboratory reference:
T elephone number:
E-mail:
Fax:
Species: Sex:
Breed: Identification:
Age:
Number of animals affected: Number of animals dead: Population at risk:
Case History
Previous test results and/or relevant necropsy findings (if any available)
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