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Appendix K.—(Contd.)            76



Report of the inspection made on the_______________19 of the

Veterinary Dispensary of________ by the Veterinary Inspector


Date and hour of Inspection (stating
whether expected or not)


Name, pay and qualifications of
Veterinary Asstt. in charge ...


Subordinate Establishment :—

(a) List of appointments and rate
of pay ...

(b) Whether present and Checked
with book ...

(c) Date up to which paid

(d) Complaints, if any ...


Condition, adequacy, suitability and
sanitary state (with any suggestions
for improvement) of—

(a) Buildings ... ...

(b) Enclosure, Latrines, Wells, &c

(c) Furniture ... ...

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