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Rheoliadau Tocio Cynffonnau Cwn Gwaith (Cymru) 2007

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Rhan 5 —cadarnhau microsglodynnu

(I'w gwblhau ar y dyddiad y caiff y ci ei ficrosglodynnu gan y milfeddyg cyfrifol)

1.  Rwyf yn cadarnhau i mi/i nyrs filfeddygol yn

  • gweithredu o dan fy ngoruchwyliaeth (dileer yn ôl priodoldeb) roi microsglodyn yn y ci a gyflwynwyd i'w ficrosglodynnu.

2.  Rwyf wedi'm bodloni mai'r ci a gyflwynwyd i'w ficrosglodynnu yw'r un parthed yr hwn y cafodd rhannau 1— 4 o'r ffurflen hon eu cwblhau.

3.  Cafodd y microsglodyn ei roi yn y ci ar: [dyddiad]

4.  Y darlleniad ar y microsglodyn yw [MEWNOSODER Y DARLLENIAD AR Y MICROSGLODYN].

  • Llofnod:

  • Enw:

  • Cyfeiriad Practis y Milfeddyg:

  • Dyddiad:

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