Veterinary Clinic Small Animal Birth-Mortality Sheet
Clinic Name
Date
Species
Breed
Dam's Name/ID
Sire's Name/ID
Owner Name
Contact Number
Litter/Birth Details
Number Born Alive
Number Stillborn
Delivery Type
Natural
Assisted
Cesarean
Attending Vet
Remarks
Puppy/Kitten Birth-Mortality Record
#
Sex
Weight at Birth
Alive/Stillborn
Mortality Date
Mortality Cause
Remarks
1
Alive
Stillborn
2
Alive
Stillborn
3
Alive
Stillborn
4
Alive
Stillborn
5
Alive
Stillborn