DRUG APPLICATION RECORD FARM REGISRATION NO.: __________________________ MONTH ___________________ FARM NAME _______________________________________ YEAR ______________________ OWNER’S NAME ___________________________________ ID PRODUCT DATE REASON WITHDRAWAL VETERINARY OFFICIAL NAME APPLIED FOR PERIOD DATE SIGNATURE OTHER
DRUG APPLICATION RECORD FARM REGISRATION NO.: __________________________ MONTH ___________________ FARM NAME _______________________________________ YEAR ______________________ OWNER’S NAME ___________________________________ ID PRODUCT NAME DATE APPLIED REASON FOR WITHDRAWAL PERIOD VETERINARY OFFICIAL DATE SIGNATURE OTHER
002-VPN-cattle-and-sheep-2017-05-18.docx