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Service Request Form

Name *

First

Last

Email *

Contact No

Referred by *

First

Last

Address

Type of Sample

Birds
Serum
Egg
Tissue

Bird type

Broiler
Layer
Breeder

Age

Selected Value: 0

in months

Flock size

Selected Value: 0

in cm

Number of flocks

Selected Value: 0

Housing type

Feed type

Rearing

Nature of the Problem

Production Drop
Mortality

Production Drop Started On

Mortality Started On

Date of Sampling

Egg Production before onset (%)

Egg production at sampling time (%)

Morbidity (%)

Mortality(for last 7 days) in ascending order

Vaccination history (Diseases, Date,Age, Vacc)

Clinical Signs:

PM Findings:

Preliminary Diagnosis

Current Treatment Regime:

Lab Services Requested

Serology- ND
Serology- Mareks
Serology- EDS
Serology- Elisa
Bacterial Isolation
Antibiotic Sensitivity Test
Viral Isolation
Histopathology
Others

In case of production drop, complete history of vaccination should be made available.

Other comments and inquiries

How we can help you?
If you want to get to know us better or learn what we can for you, ask our experts.

+966 13 8335200
[email protected]
P.O.Box 4248 Dammam 32242 Saudi Arabia

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