S.No.

26th round FMD +HS vaccine

Name of Village: _______________ Date of Vaccination __/4/2019
Name Mob No. Caste Animal Vaccinated Animal Not Vaccinated
Advanced refused
Pregnant/ill/
calf <4
months
cow Buff 4-8 calf Total Cow Buff Cow Buff
cow Buff 4-8 calf Total Cow Buff Cow Buff
cow Buff 4-8 calf Total Cow Buff Cow Buff
cow Buff 4-8 calf Total Cow Buff Cow Buff
 Affix a label sticker of vial
Summary

No. of animals vaccinated_____________

No. of dose spoiled during vaccination_________

Daily total of vaccine dose used ______________

No. of 4-8 months calf eligible for booster vaccination after 4-5 weeks__________

No of advance pregnant/ ill health/ calf <4 M eligible for further vaccination after 4 months______________

No. of animals for which vaccination refused_____________

Signature of all VLDAs in Team

C/S by Veterinary surgeon in team

C/S by SDO AH & D, Narwana Signature of Sarpanch/Ward member/ Numberdar with seal