u s DEPARTMENT OF AGRICULTURE BRUCELLOSIS TEST RECORD - CONTINUATION SHEET 



ANIMAL AND PLANT HEALTH INSPECTION SERVICE 



VETERINARY SERVICES Coinplelf dll pnlii.-s on VS Form "1 33 bclore iiiing this loirn 



HERO NUMBER 



PAGE NO 



HERD OWNER LAST FIRST INITIAL 



DATE BLED 



VETERINARIAN 





2 



RECORD ALL 



IDENTIFICATION 



NUMBERS 



VACC 

 TATTOO 



AGE 



BREED 



StX 



FLD 



T 



LABORATORY RESULTS | 



TEST 



IN 

 TERP. 



REMARKS 



AND 



ADDITIONAL 



INFORMATION 



REACTOR 



TAG 

 NUMBER 



TUBE 



NO. 



BAPA 



/rst 



CARD 



STT^ 



/SPT 



RIV 



Cf 



























































































































































































































































































































































































































































































































































































































































































































































































































































































































































VS FORM 4-33A 

 (FEB 92) 



Replaces edition dale of ('t'811 wtiicli may be used 



PART l-OFFICE 



16-13 



