Health Certificate Book No:_____________________ Sr. No________________________ Date_______________________Time___________________Place_______________ This is to certify that have this day ___________personally examined the animal described below at the request of Sh_________________S/O___________ Village_____________ District_______________. Description the Animal: Species______________________Breed_________________Sex________________ Color________________ Height_________________ Identification Mark: Natural_______________________________________ Acquired______________________________________ Tatoon/ Tag No: ________________________________ No of running Lactation___________________________ Stage of Lactation________________________________ Present Production Level__________________________ Approximate cost of the Animal______________________ The said animal in my opinion possesses sound health is fit for______________________( Milching,Draught, etc;) Signature with stamp of the authority authorized to issue permit. Registration No___________ Pb.Vety.Concil. Signature/Thumb Impression of the person who applied for permit. Fees Charged for permit Rs/________________ Vide receipt No______________ dated_________