Government of Rajasthan Animal Husbandy Department D.No. Date Serology report OWNER'S NAME OPD/ CASE NO. BREED SEX SOURCE LAB PROT.NO. DATE REFERRED BY DR. DAIGNOSIS/HISTORY SAMPLE/SPECIEMEN SUBMITTED: SERUM/BLOOD/CSF/OTHERS 1. Name 2.Brucella 3. Count . Agalactia 4. Q. Fever 5. Blue Tongue 6. Tuberculin 7. Chlamydia 8. Lapto 9. C.R.S. 10. Johnin Antigen used Batch No. Type of test Lab. Technician Section Incharge Pathologist