Monthly Report of District Veterinary Hospital / Dispensary / RAHC Champhai.
Champhai District
for the month of _________________________
1. Record of Out Patient Register
(Treatment Record for the period from (_________________________)
a. Total No of treated cases =
b. No of cases treated for clinically unspecific diseases conditions =
c. No of cases treated for clinically suspected disease conditions =
(Please fill up the following table for this category (c) only)
Detail Record of clinically suspected disease conditions (c above) as recorded in Out patient
Register and treated in Dispensary / Hospital
Details of the suspected disease conditions
Type of animal treated treated
Species Breed Sex Age Group Name Nos
TOTAL
* Write age group as 1, 2 or 3 as per disease outbreak record (see overleaf)
2. Vaccination Record
Total Nos
No of doses procured Name of the village Species of of animals No of animals
Name of the by the dispensary where vaccination is animals of the of the species
vaccine Govt. Private carried out vaccinated species in vaccinated
supply procurement the village
3. Operation Record:
Name of Species Castration Ovarectomy Other Remarks
Centre operation Total
Cattle
Buffaloes
Mithun
Horse
Goat/Sheep
Dog
Pig
Birds
Cat
Others
TOTAL
4. RECORD OF A.I ON DAIRY CATTLES/PIGS
Populatio Nos of Nos of Nos of Frozen Stock Balance
n of Breeding calves/piglets Semen
Female Bulls/Boar in Borned from Straw/Boar
Cross the A.I Semen
Nos of Repeat cases
Nos of A.I done
Bred jurisdiction received
Dairy of the A.I
Species Cattles/pi Centre Remarks
g in the FSS FSS
jurisdicti Straw/ Straw/
LN2 LN2
on of the Male Female Boar Boar
(lit) (lit)
A.I Semen Semen
Center doses doses
Cow
Pig
Total
5.MISCELLANEOUS REPORT
Species Animal Animal Animal New Mobile/Out Repeat Total Case
Population Slaughter Entry Case Cases Case Treated of
Exam Treated Attend 5+6+7
1 2 3 4 5 6 7
Cattle
Buffaloes
Mithun
Horse
Goat
Sheep
Dog
Pig
Cat
Poultry
Others
TOTAL
6. REVENUE COLLECTION RECORD
OPD Operation
Out case etc. Vaccination A.I Animal Entry Total Remarks
Registration fees examination
Signature :
Designation :
With Seal : ________________________