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Wednesday, 01 September 2010 05:30

Download Histopathology Submission Form

Download forms for state: Himachal Pradesh
Form Details
StateHimachal Pradesh
DepartmentAnimal Husbandry
TitleHistopathology Submission Form
LanguageEnglish
Document Size17.6 KB
Text of the PDF document(for quick reference)
DISEASE INVESTIGATION LABORATORY DIRECTORATE OF ANIMAL HUSBANDRY HIMACHAL PRADESH, SHIMLA-5 Phone: +91-177-2830164 (Extn. 231) HISTOPATHOLOGY SUBMISSION FORM (Please fill out this form completely) CHECK HERE IF URGENT For Laboratory Use Only Lab ID / Histopathology No.:- Date: Veterinarian................ Name of Institution............. .................... Contact No................ Owner's Name............... Address.................... ..................... Contact No................. Please submit the samples in 10% Formalin {1 part pure FORMALIN (40 %) and 9 parts water} Animal Name/ No......Species........Breed........Sex....Age..... Biopsy Post Mortem P.M. Interval.......... Date Specimen Taken........... History: Description of the lesion(s) (Describe location, distribution, size, color, consistency): (Use back of Form if more space is required) Clinical Diagnosis:................................... Tissues submitted:................................... Signature of Referring Veterinarian _____________________________________________________ For Lab Use Only No. of Blocks Made: Stains/ Special Stains Used____________________________________ Comments_________________________________________________ No. of Tissue Slides Made:
Last Updated on Friday, 17 December 2010 05:30
 

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