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Birdview Insurance
Post-Mortem Report
PARTICULARS OF OWNER
Name of the Insured
*
Name of the Insured *
P.O. Box
*
P.O. Box *
Code
*
Code *
Town
*
Town *
Mobile No
*
Mobile No *
Email
*
Email *
PARTICULARS OF ANIMAL
Breed
*
Breed *
Sex *
Bull
Cow
Steer
Heifer
Calf
Colour
*
Colour *
Ear Tag Number
*
Ear Tag Number *
Age (years/months)
*
Age (years/months) *
Specify in years or months
Clinical History *
Post Mortem Findings (Significant findings) *
Tentative/Post Mortem Diagnosis
Samples Collected (If Any)
Samples Collected (If Any)
Lab Diagnosis
Lab Diagnosis
Upload Lab Report (Optional)
PDF, JPEG, or PNG (Max 5MB)
Veterinary Surgeon Details
Name of Veterinary Surgeon
*
Name of Veterinary Surgeon *
KVB Registration Number
*
KVB Registration Number *
Submit Report