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Disease Incident Data Entry Form
Name: (Pangalan ng nag-report)
Halimbawa ng sagot: Jose Abad Santos
Animal Disease Details (Detalye ng sakit ng mga hayop)
Animals: (Anong hayop, dami ng maysakit at namatay)
Uri ng hayop
Broiler
Carabao
Cat
Cattle
Dog
Dove/Pigeon
Eagle
Game fowls
Geese
Goat
Horse
Layer
Mallard (Duck)
Mayna
Muscovy (Duck)
Native/Improved chicken
Ostrich
Others
Peacock
Pet birds
Quail
Sheep
Swine
Turkey
Wild & Exotic
Halimbawa ng sagot: 12
Halimbawa ng sagot: 12
Date: (Petsa ng kaganapan)
Place: (Lugar kung saan nangyari)
Halimbawa ng sagot: Brgy San Isidro, San Miguel, Bulacan
Person to Contact
Halimbawa ng sagot: Brgy Capt. Mario
Contact Number
Halimbawa ng sagot: 09198126548 o 9281290
Note: By clicking the submit button, it will send a notification to the authority or concerned person.