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1. ª×èÍ( ¼ÙéÊè§Áͺ )………………………………………………………………………………………………….
2. ˹èǧҹ/·ÕèÍÂÙè………………………………………………………………………………………………….
………………………………………………………………..â·Ã………………………………………………..
3. §Ò¹/â¤Ã§¡ÒÃ…………………………………………………………………………………………………….
4. Çѵ¶Ø»ÃÐʧ¤ì㹡Òýҡà¡çº
o ãËéà¡çºáºº¶ÒÇÃáÅÐãËéºÃÔ¡ÒÃá¡è˹èǧҹÍ×è¹ä´é
o ãËéà¡çºáºº¶ÒÇÃáÅÐãËéºÃÔ¡ÒÃá¡è˹èǧҹÍ×è¹ä´éàÁ×èÍä´éÃѺ¡ÒþԨÒóҨҡ¼ÙéÊè§ÁͺáÅéÇ
o ãËéà¡çºáºº¶ÒÇÃáÅÐäÁè͹ØÒµãËéºÃÔ¡ÒÃá¡è˹èǧҹÍ×è¹ áµèµéͧÍÂÙè㹡®à¡³±ì¢Í§ DMST C.C.
o Í×è¹æ………………………………………………………………………………………………………..
5. ª¹Ô´áÅШӹǹ
o ºÑªÕÃÒª×èÍṺ·éÒ o ´ÔÊ¡ìࡵ¢éÍÁÙÅ o Í×è¹æ……………………………………………
Ấ·ÕàÃÕ ¨Ó¹Ç¹………………..ÊÒ¾ѹ¸Øì àª×éÍÃÒ ¨Ó¹Ç¹……………….ÊÒ¾ѹ¸Øì
Í×è¹æ (¨Ó¹Ç¹/ÊÒ¾ѹ¸Øì)………………………………………………………………………………………….
6. ¢éÍÁÙŨÓà¾ÒÐà¡ÕèÂǡѺàª×éÍ·Õè¤Ç÷ÃÒº
ÍÒËÒÃàÅÕé§àª×éÍ ª×èÍ……………………………….. o ṺÊÙµÃÍÒËÒà o ṺàÍ¡ÊÒáÒÃàµÃÕÂÁ
ÍسËÀÙÁÔºèÁàª×éÍ……………o « àÇÅÒºèÁ…………………………Çѹ
ÊÀÒ¾¡ÒúèÁ o Aerobic o Facultatively o Anaerobic o Other……………………………….
¢éÍá¹Ð¹ÓÍ×è¹æ (¶éÒÁÕ)…………………………………………………………………………………………….
ÇÔ¸Õ¡ÒÃà¡çº·ÕèàËÁÒÐÊÁ
o à¡çºáºº¶èÒÂàª×éÍ ÃÐÂÐàÇÅÒ¡ÒöèÒÂàª×éÍ………………Çѹ/à´×͹
o à¡çºáººáªèá¢ç§ ÍسËÀÙÁÔ……………. o «
ÊÒûéͧ¡Ñ¹à«ÅÅì o 20% Glyceral o 10% Skim milk
o à¡çºáººÃÐàËÔ´áËé§ (Freeze drying)
ÊÒûéͧ¡Ñ¹à«ÅÅì o 10% Skim milk o Í×è¹æ…………………………………………….
o ÇÔ¸ÕÍ×è¹………………………………………………………………………………………………………
7. àÍ¡ÊÒûÃСͺ¡ÒÃÊè§Áͺ (àÍ¡ÊÒÃâ¤Ã§¡ÒÃ, º·¤ÇÒÁ, ÃÒ§ҹ)
(â»Ã´á¹ºàÍ¡ÊÒÃ-¶éÒÁÕ)
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
8. ÊÀÒ¾àª×éÍ¢³ÐÃѺÁͺ
……………………………………………………………………………………………………………………
