Cat	
Name
     	Date of Birth
     
	
Sex
 male  female

	Registration number

	Microchip number
     

Breed
     	Colour
     	
Breeder/tel-no	Address	

I have today examined the kitten and my observations are as follows:

Normal	
Remarks	

General condition

	

Skin, Coat, Navel area

	

Mucous membrane, Mouth and Teeth

	

Eyes and Ears

	

Respiratory system and Circulatory organs 

	

External urinary organs and Genitals

	

Legs, Tail, Bone structure and Muscular strength

	

Other remarks

Please put cross in Normal when everything is in order.   In case something is out of the ordinary, use the column Remarks.

Weight of the kitten: 	__________ kg

The kitten must be microchipped and weigh at least one kilo when leaving for its new home. Minimum age is 12 weeks.

The above details have been checked by the undersigned veterinarian.

Place and date:
Signature/Print name/Veterinary number: 
________________________________
Place  and date

________________________________
Allekirjoitus