Poisoning report

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Poisoning report

Name of the animal's owner
Address of the owner
E-mail/Telephone
Attending veterinary surgeon
Animal species*
Breed
Sex
Age
Toxic substance
Clinical signs*
Laboratory findings
Pathological findings
Additional information
(health condition, medication
of the animal)
Treatment course
Results
Request for information
(for the answer it is necessary
to fill in e-mail address or
phone number)
Calculate*... =