POST – MORTEM REPORT

PM No. / Dt:

Species: Breed:
Colour : Age:
Sex : No. of Calvings :
Ear Tag No. : Milk yield in last calving :

Name & Address of the Owner :

Post-mortem conducted at the request of :

FIR No. in case of Police / Ref. No. if any :
Date and Time of Death :
Date and Time of PM Examination :
History :

External Examination :

Internal Examination

1. Thoracic Cavity :

a. Heart :

b. Lungs :

c. Glottis :
d. Larynx :
e. Trachea :
2. Abdominal Cavity :

a. Liver:

b. Gall bladder :
c. Spleen :
 d. Kidneys :

e. Urinary Bladder :

f. Oesophagus :

g. Stomach :

h. Intestines :

i. Genital Organs :

j. Lymph glands :

3. Brain & Spinal Cord :

Materials preserved if any :

Materials sent for examination if any & to :

whom submitted

Opinion of Death based on above :

examination

Remarks :

I certify that prior to illness, the original value of the animal would be Rs. _________
and I recommend the claim for compensation under Cattle and Buffalo Loss Compensation
Scheme for Rs.30000/Rs.15000/- as per the eligibility of the farmer. I certify that the ear tag
is collected and preserved in the institution by issuing proper acknowledgement to the
farmer.

Signature of the Veterinarian

Place of Post-Mortem :
Date : APVC Reg. No: