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Case Recording Performa
MEDICINE CLINIC-II
University College of Veterinary & Animal Sciences
Date:_____________
Introduction of Owner:
Name of Owner:__________________ Father Name:__________________
Address: ______________________ Contact No.: ___________________
Description of Animal:
 Specie: _____________ Breed:______________
 Sex:________________ Age:________________
 Color:______________
History:______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Clinical:______________________________________________________________________
_____________________________________________________________________________
Physical Examination:
Temperature:______________ Pulse:___________________
Respiration:_______________ Palpation:_______________
Aspiration:________________
Differential
Diagnosis:_____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
___________________________________________________________________________
Tentative Diagnosis:____________________________________________________________
Treatment:____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____________________________________________________________________________
_______________________
_______________________

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Caes performa for vet studnets of IUB

  • 1. Case Recording Performa MEDICINE CLINIC-II University College of Veterinary & Animal Sciences Date:_____________ Introduction of Owner: Name of Owner:__________________ Father Name:__________________ Address: ______________________ Contact No.: ___________________ Description of Animal:  Specie: _____________ Breed:______________  Sex:________________ Age:________________  Color:______________ History:______________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Clinical:______________________________________________________________________ _____________________________________________________________________________ Physical Examination: Temperature:______________ Pulse:___________________ Respiration:_______________ Palpation:_______________ Aspiration:________________ Differential Diagnosis:_____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ___________________________________________________________________________ Tentative Diagnosis:____________________________________________________________ Treatment:____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ____________________________________________________________________________ _______________________ _______________________