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Appendix K.—(Contd.)            62

XXV—4/C. V. D.            PATIENT'S TICKET.

No.______, Owner______Dispensary, __________Date______

Place where animal is kept_______________________

Animal.

Sex.

Age.

Colour.

Breed.

Nature of
work on
which the
animal is
employed.

Period for
which the
animal has
been ill.

Disease.

Date when
treatment
stopped.

Result.

Date.

Symptom.

Treatment.

             PATIENT'S TICKET.

[To be given to owner of
animal.]

No._________

Name of Owner______

Animal_________

Dates of visits to Dispensary.

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