Government of Rajasthan Animal Husbandry Department Bacteriological Examination D.No. And antibiotic sensitivity report Date: OWNER'S NAME SOURCE Ref. L.R. No. Date O.P.D./ R. No. Date Species Breed Sex Age Temp. Bacteriological Culture Examination Broth AGAR Results Antibiotic sensitivity Results 1. 2. 3. Remarks Lab. Technician Section Incharge Pathologist