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IwDMS Formats

Monitoring of Work Done at POLY-CLINICS ( District - wise )
Month………………………..                     YEAR……………….
S.   NO District No of Outdoor Cases Treated Diagnostic Tests Gynaecological Surgical
Faecal Tests Blood Tests Urine Tests Milk Test Blood Sera CST Total Infertility AI PD Obst. Sync Others / Brucellosis Total Major Operations Minor Operations X-Ray Ultra Sound Total
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           
                                           

 

 

MONITORING OF LABORATORY WORK DONE AT  TEHSIL / BLOCK LEVEL
District…………………………                    Month……………………………………..   YEAR……………………….
S.No Tehsil / Block Month Feacal Examination Blood Examination Urine Tests Milk Tests Total Laboratory Tests Total Fees realised
No of Tests Fees Realised No of Tests Fees Realised No of Tests Fees Realised Milk Tests Fees Realised
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         
                         

 

 

Monitoring of OUT DOOR CASES ( District- Wise )
Month…………………………………..                     YEAR………………………..
S. NO District Outdoor Cases Treated Castrations  Pregnancy Diagnosis Animal Health Certificate Post Mortem Total OPD Cases treated Total Fees realized
Total Number of Cases Treated Fees Realised Total Number of Castrations Done Fees Realised No. of Pregnancy Diagnosis Fees Realised Number Fees Realised Number Fees Realised
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           
                           

 

 

Monitoring of Vaccinations-District -wise 
 Month…………………………...                    YEAR………………………..
S. NO District Haemorrrhagic- Septicaemia             ( HS ) Foot & Mouth ( FMD ) Black Quarter ( BQ ) Any Other  Total Vaccination Total Fees Realized
Doses Received  Animals  Vaccinated Fees Realised Doses Received  Animals  Vaccinated Fees Realised Doses Received  Animals  Vaccinated Fees Realised Doses Received  Animals  Vaccinated Fees Realised
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               
                               

 

 

Monitoring of Slaughter Houses District - wise 
Month………………………...                     YEAR………………………..
S. NO District No of Slaughter Houses Animal Slaughtered Quantity of Meat Obtained     ( in kg. )
Sheep Goat Pigs Total Animal Slaughtered
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               

 

 

Monitoring of Semen Banks  ( NABHA , ROPAR )
Month………………………...YEAR………………..
S.No Bull Type No. of Bulls for Semen Collection Previous Balance of Semen Straws Production during the month Progressive Total of Semen Straws Semen           Supplied during the month Balance Straws in Hand 
               
  Buff.            
  HF            
  CB            
  Jersey            
  Sahiwal            
  Others            
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               

 

 

Monitoring of Vaccine Produced , Precured  & Supplied  by                                                                                                                                      Punjab Veterinary Vaccine Institute , Ludhiana
Month……………………………..YEAR………………..
  Name of Vaccine produced Doses during the month Progressive for thee year Vaccine Supplied Balance in Hand
A In State To Private agencies within State Sold out side State Total
  1 H.S. Alum Precipitated              
  2 BQ              
  3 ETV              
  4 Swine fever              
  5 Rani Khet-F1              
  6 Rani Khet-R2b              
  7 Fowl Pox              
                   
B Antigen Produced          
  1 Solmonella Pullorum Colored Antigen              
  2 Brucella Colored Antigen              
  3 Brucella Plain  Antigen              
  4 Brucella Milk Ring Testing Antigen              
                   
                   
C Vaccine Precured          
  1 Brucella Vaccine              
  2 FMD              
  3 Rabies              
  4 Theileria              
  5 PPR              
                   
                   

 

 

MONITORING OF WORK DONE BY MOBILE UNITS (District -wise )
District……………………………                                                  Month………………………..           YEAR…………………………….
Sr No Details of Cases Treated under Mobile Units  
District No of Mobile vans No. of Visits No. of Villages Covered Cases Treated A.I Performed Disease Investigation Analysis Castration PD Vaccination
COW Imported Buff. Blood Milk Faecal Urine Ultrasonography Total
HF Jersey CB Sahiwal Total HF Jersey Sexed Total
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 

 

 

Monitoring of Camps for Extension    ( District -Wise )        
Month…………………………...                     YEAR………………………..        
S.    NO District PLDB ASCAD  Animal Welfare Camps Others Total
No of Camps No of Farmers Participated No of Cases treated No of Camps No of Farmers Participated No of Cases treated No of Camps No of Farmers Participated No of Cases treated No of Camps No of Farmers Participated No of Cases treated No of Camps No of Farmers Participated No of Cases treated
    D.M PT D.M PT D.M PT D.M PT D.M PT D.M PT D.M PT D.M PT D.M PT D.M PT D.M PT D.M PT D.M PT D.M PT D.M PT
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
                                                               
DM: During the month              PT : Progressive Total        

 

 

 

MONITORING OF ARTIFICIAL INSEMINATION ( District-Wise )
                                                                                                                                                                                                                                        Month…………………………...                                  YEAR………………………………………………………….
District No of Institutions under A.I.         Technique A.I. in COWS A.I. in Buffalo Follow-up during the month Calves Born by A.I  ACCOUNT OF COW SEMEN STRAWS ACCOUNT OF BUFFALO  SEMEN STRAWS
Local Frozen Semen Imported Semen Progressive Total of A.I Done A.I in Buffaloes Progressive of A.I Done Cow calves Born with Local Semen Cow calves Born with Imported Semen Total during the month Prog-ressive Total Buffaloes Calves Born with AI
HF JERSEY CB Sahiwal Total Straws Amount Realised HF JERSEY SEXED Total During the month Ammount Realized in Rs. A.I. in Cows No. of Cows Covered A.I Done in Buffaloes Ammount Realized in Rs. A.I. in Buffaloes No. of Buffaloes Covered Covered Cows Buffaloes HF Jersey CB Sahiwal HF Jersy Sexed Total Progressive Total Local Frozen Semen Straws Imported Semen Straws Sexed Semen Straws Overall Account of Semen Straws
            Straws Fees Realised Straws Fees Realised Straws Fees Realised Straws Fees Realised             Pregnancy Test Concieved % Conception Rate Pregnancy Test Concieved % Conception Rate M F M F M F M F M F M F M F M F M F M F M F Opening Balance Received Used Balance Opening Balance Received Used Balance Opening Balance Received Used Balance Opening Balance Received Used Balance Opening Balance Received Used Balance
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
                                                                                                                                           
              DM  - During the Month        PT - Progressive Total                                                                                        

 

 

 

 

 

 

 

 

Performance Report of Sheep breeding farms for the month of        
Category 0-4 months 4-12 months 12-18 months 18 months & above total
  Male Female Male Female Male Female Male Female  
Opening Balance                  
Births                  
Age Transfer(Addition)                  
Age Transfer(Sustraction)                  
Sale                  
Deaths                  
Closing Balance                  

 

 

 

 

Performance Report of Pig breeding farms for the month of              
                         
Kind of animal Opening Balance Births Purchase Age transfer Transfer to others farms Total Deaths Sale Age transfer Transfer to others farms Total Closing Balance
Stud Boars                        
Young Boars                        
Dry Sows                        
Nursing Sows                        
Pregnant Sows/Gillts                        
Rearing Gillts                        
SucklingPigletsMale                        
Female                        
Weaners piglets Male                        
Female                        
Total                        

 

 

 

 

 

Performance Report of Poultry breeding farm for the month of        
Age (in Weesks) 0-1week 1 to 8 weeks 9 to16 weeks 17to24 weeks Adults Total    
opening Balance                  
Hatched from Machines                  
others achievements                  
Sold for breeding purpose                  
Sold for Table purposes                  
Deaths                  
Closing balance                  

 

 

 

Performance Report of Poultry breeding farm for egg production  for the month of        
opening Balance Production others achievements Total Eggs set in Machines Sold for Table purposes Sold for hatching purposes Sold to others farms Total closing Balance
A Grade                  
B Grade                  

 

 

 

Performance Report of Live stock position & eggs production of Poultry breeding farm  for the month of                  
Age No. of Birds Adults Total name of the scheme No. of birds supplied Ammount adusted Name of the unit & number No. of Hens No. of eggs produced % production      
    Male Female                      
                             
                             
                             
Rate of eggs Report of Hatchability Income Deaths      
Period B-class per 100 c-class per 100 no. of eggs set No. of chicks hatched % hatchability head for credit Income from the sale of breedable chicks Income from the sale for table purposes Income from the sale of eggs Total Date Adult flocks   %Mortality
                        Male Female  
                             
                             
                             

 

 

 

Performance Report of Rabbit breeding farm for the month of                
Category Opening Balance births Received from others Farms Purchase Age Transfer Total Deaths Sale Age Transfer Teasfer to others farms   Total Closing Balance
Buck                          
Doe                          
Kitts                          
Weaners                          
Frayers                          
Total                          
                           

 

 

 

 

Performa No. 1 

FORMAT-IX

Name of village and District: ____________________

Name of Vety. Officer: _________________________

Date: _______________

S.No.

Name of owner.

S.No.of list.

Identification.

Species.

Age.

Sex.

Breed

Vaccinations with date.

 

 

 

 

 

 

 

 

 

HS

FMD

Swine Fever.

Ranikhet.

Small Pox.

Others

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disease Status.

 

TB

JD

Brucellosis.

Glanders.

Pullorum

Reproductive Disorders.*

Parasitic

Remarks.

 

 

 

 

 

Anoestrus.

Repeat Breeding

Gestational problems.

Causes of abortion.**

Blood

Intestinal.

Others.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Specify Anoestrus, repeat breeding/Gestational problems or any other causes of infertility.

**Specify if the abortion is due to Vibrosis, Brucellosis, Trichomaniasis, Leptospirosis or IBR or Trauma etc.

 

 

AWARENESS CUM STERILITY/INFERTILITY CAMP REPORT

(ADARSH GRAM SCHEME)

FORMAT-X.                                                                                                Date: _____________

Village:______________Block ____________Tehsil __________District ____________

1.         Inaugurated by                          ___________________________

2.         Departments participated:                     A.H/Dairy/Fisheries.

3.         Advertisement/Advance coverage         ________________

4.         No.of farmers attended.                        _________________

5.         Speakers.

                  Name.                                      Subject.

      1.         _________________              ____________________

      2.         _________________              _____________________

      3.         _________________              ______________________

      4.         _________________              ______________________

      5.         _________________              _______________________ 

6.         Specialists participated              _______________________

in the camp.       

7.         Recommendations, if any.                     ________________________

8.         Total No.of animals registered   _________________________

            in the camp 

9.         No. of medicinal cases treated.

(i)         Equine.

(ii)                Bovine.

(iii)               Others.

(iv)              Mastitus.

10.       No.of surgical cases:-

(i)                  Major operation.                                  Cows:              Buffaloes:

(ii)                Minor operation.                                   Cows:              Buffaloes:

11.       Gynaecological cases:

(i)                  Anoestrus.

(ii)                Infertility.

(iii)               P.D.

(iv)              Any other. 

12.       Castrations:-

13.       Vaccinations performed:-         

            1.         H.S.                 _______________________

            2.         F.M.D.             _______________________

            3.         B.Q.                 _______________________

            4.         Ranikhet.          _______________________

            5.         Fowl Pox.        ________________________

            6.         Others.             ________________________

14.       Laboratory Test:                       Blood.              Urine.               Fecal.               Milk.

15.       Sponsorship,if any.       ________________________

16.       Loan cases prepared.   ________________________                                                                       

17.       Distribution of subsidized material.

            S.No.   Particulars.                                           Qty.

1.                  Seeds.

2.                  Mineral mixture.

3.                  Urolic Bricks.

4.                  Any other item (specify)           

18.       Any other item.

 

Dy. Director,Animal Husbandry                  Sr.Vety.Officer.                  Vety.Officer,

                                                                                                            Incharge CVH.

__________________                              ______________              _______________

 

 

PERMIT FOR   EXPORT OF  ANIMALS

(  Only to be used by the registered Vety. Practioners  ) 

Book No__________________       Sr No____________________              Date of Issue_______________ Shri______________________________S/O_______________________Resident  of /Proprietor  of______________________________________is permitted to export ____________Cows * ( the discription  where  of   is  given  here  under )  from  the  State  of  Punjab  to  ________________  State.

 

S.No

 

Species  / Breed

 

Age

 

Sex

 

Female in Milk

 

 

Identification  Mark & Tag No

 

 

 

 

Lactations Completed & present stage of Lactation

Approximately

Milk Yield

Pregnant /

Non Pregnent

Purpose

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

·         Animals  Examined are healthy and fit for Export

·         The permit is valid for  30 days only from date of Issue                                                                                                                                                                                                Signature with stamp of Authority, Authorised to                                                                                                                                                                                             to Issue permit  Regd No_______Pb Vet. Council

Signature/ Thumb and Impression of the

person who applied for permit

Fees Charged for permitRs___________________

vide reciept No________________dated________

*        Cow includes  Cow,Bull, Bullock , Ox , Hheifer or Calf

 

 

 

(  Only to be used by the registered Vety. Practioners  ) 

H E A L T H      C E R T I F I C A T E  

Book No_______________ Sr No.___________Date______________Time_____________Place____________ 

                               This is to certify that I have this day_______________ personally examined the animal described below at the request of Sh__________________________S/O_____________________________

Resident of  Village____________________District________________________

Description of Animal:- 

Species ________________Breed______________   Sex________Age______Colour____________Height___________ 

Identification Mark:                Natural___________________________Acquired________________________ 

                                                   Tatoon No /Tag No_____________________________________ 

 Number of running Lactation____________________Stage Of Lactation_____________________________ 

Present Production Level________________________Approximate Cost of Animal_____________________ 

                            The said animal in my opinion possesses sound health and is fit for_____________Milching , Draught ,etec 

                             Signature ___________________________

                                                                                                                                        Name in Block Letters with office Seal________                                                                                                                                       

 Regd  No________________________________

Signature / Thumb Impression of Owner

Fees Charged Rs __________________Recipt No ________________Dated______________ 

 

 

  Only to be used by the registered Vety. Practioners  ) 

P O S T M O R T E M      C E R T I F I C A T E  

Book No__________________  Sr No Autopsy_______________ 

Name of Institution / Hospital____________________Reference No of Requisitioner_____________________ 

Owners Name and Address_____________________________________________________________________ 

Date and Time of Death________________________________________________________________________ 

Date and Time of recipt of Carcass_______________________________________________________________ 

Date and Time Autopsy performed_______________________________________________________________ 

Autopsy performed by Dr____________________________________at place____________________________ 

Description of Carcass:- 

Species______________Breed_________________Age_______Sex_______Colour_______________________

 Identification Mark:- 

Natural_________________________Acquired____________________Tag No________________________ 

BrieHistory

 A     Body Condition and External Findings_______________________________________________________________________ 

B     Internal Findings:

                                   

  I)    Condition of the Lymph nods and serous Membras_______________________________________ 

               

 II)   Buccal Cavity:_____________________________________________________________________

           

 III)     Thoracic Cavity____________________________________________________________________

 IV)    Abdominal Cavity__________________________________________________________________

 V)      Pelvic Cavity______________________________________________________________________

   VI)     Cranial Cavity_____________________________________________________________________

   VII)        Any Other Abnormality witnesswd:

 

Opinion

 

Date of Issue 

Signature / Thumb Impression of

Requisitioner:                                                               Signature__________________________________

                                                                                                                                 Name in Block Letters with official Seal of Issuing                                                                                                            Authority

                                                                                       Designation________________________________

                                                                                                                                 Regd No___________________________________

Recieved Fee of Rs____________________

Vide recipt No______________Dated_____________

 

 

 FORMAT - XI    DEPARTMENT OF ANIMAL HUSBANDRY, PUNJAB

       Monthly Progress Report of Adarsh Gram Villages for the Month of ...............................
Sr.No Name of District Name of Adrash Gram Village A.I.Done Comparison with last years Cases Treated 
      April.2004   April.2003 April.2002 Medicine Gynecological Surgical Mastitis Others
      Exotic Imp Buff Cow Buff Cow Buff E B O T E B O T E B O T   E B O T
                                                     
                                                     
                                                     
                                                     
Sr.No Name of the Distt./Block Name of Adrash Gram Village Castration Vaccinations laboratory Test Incidence of Contagious Disease Outbreak Awareness Camps held
H.S FMD B.Q Rani khet Pollurum Swine Fever Others Blood Urine Fecal Milk Others  Name of Disease Animal effected Animal Died No Date
                                       
                                       
                                       
                                       
                                       
                                       

 

 

          Training Programme     New Units Established Material Distributed Loan case prepared
Sr.No Name of District Name of Village Dairy Poultry Piggery Fishery Dairy Poultry Piggery Fishery Fodder Seed (B+J)kg. Minikits Min.Mixture/Feed Uromin Licks Others(Urea treatment) Dairy Poultry Piggery fishery
                                       
                                       
                                       
                                       
                                       
                                       
                                       
  No.of Complaints  /suggestion      
    Infrastructure Improvement of Hospital Area Under Fodder Prod.Acre Imp. In Milk Outlet liter Display of sign board Suggestion Box Staff Position
Sr.No Name of Adrash Gram Village Name of Block Building Water Supply Electricity Refreg Equip. Cattle Crush Any Other Received Action Taken VO VP Class IV
      Y No Y No Y No Y No   Y No Y No     Y No Y No          
                                                     
                                                     
                                                     
                                                     
                                                     
                                                     

 

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