Doc # QAMO 028 BRUCELLOSIS TEST REPORT Lab. Ref. No: 2019-D- Page no: ____ of ____ Species: Bovine Date received: Number of serum samples: Collection date: Oth: specify Test Routine Export Diagnostic Herd Maintenance Infected Vaccination History herd RBT CFT SAT Surveillance 1st 2nd Annual CFT ALL : Owner: (Name & Business) Vacc date: Unknown Unvacc. Farm/ Diptank: As heifer RB51 according to Name: No: Strain 19 prescription Address: Sender: Adult RB51 vaccination Strain 19 Address: Type of herd Beef Dairy Local Municipal area: Test dates: RBT: District: Tel. No: Fax No: Tel. No: Fax No. CFT: Email: Email: SAT: CA File Ref. No: SV Office: SV Tel No: Geographical Position: E : S : : Email: SV Fax No: RBT RBT Sample no: CFT SAT Sample no: CFT SAT Animal no/Identification/Description +/P = Pos Animal no: /Identification/Description +/P = Pos Interpretation (Bottle no) (IU/ml) (IU/ml) (Bottle no) (IU/ml) (IU/ml) -/N = Neg -/N = Neg 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 0 0 For laboratory use only: FINAL COMMENTS: Tested by: Date: Authorised by: Date: SV Interpretation: Date: STAMP NOTE: This report shall not be reproduced except in full. The test results in this report refer only to the samples tested.
Doc # QAMO 028 Lab. Ref. No: 2019-D- BRUCELLOSIS TEST REPORT Page no: ____ of ____ Date received: Number of serum samples: Collection date: Species: Bovine Oth: specify Test Routine Export Diagnostic Infected herd Herd Maintenance Vaccination History RBT CFT SAT CFT ALL Surveillance 1st 2nd Annual Owner: (Name & Business) Vacc date: Unknown Unvacc. Farm/ Diptank: As heifer according to prescription RB51 Name: No: Strain 19 Address: Sender: Adult vaccination RB51 Strain 19 Address: Type of herd Beef Dairy Local Municipal area: District: Test dates: RBT: Tel. No: Fax No: Tel. No: Fax No. CFT: Email: Email: SAT: Geographical Position: E : : S : : CA File Ref. No: SV Office: SV Tel No: Email: SV Fax No: Sample no: (Bottle no) Animal no/Identification/Description RBT +/P = Pos -/N = Neg CFT (IU/ml) SAT (IU/ml) Sample no: (Bottle no) Animal no: /Identification/Description RBT +/P = Pos -/N = Neg CFT (IU/ml) SAT (IU/ml) Interpretation 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 0 0 For laboratory use only: STAMP FINAL COMMENTS: Tested by: Date: Authorised by: Date: SV Interpretation: Date: NOTE: This report shall not be reproduced except in full. The test results in this report refer only to the samples tested.