Inspection Report on Imported Drug

[2009-06-04 14:12:54]

XXX Institute for Drug Control

Inspection Report on Imported Drug

                                                                        

Report No.:                                                                                                                                        Page__ of__

Chinese name

 

Drug No.

 

English name

 

Manufacturer /place of origin

 

Batch No.

 

Inspection applicant

 

Specification

 

Registration No.

 

Dosage form / type

 

Approval No.

 

Packing specification

 

Contract No.

 

Inspection purpose

 

Date of sampling

 

Term of validity

 

Quantity of sampling

 

Quantity

 

Inspection reference

 

                                                                                                                                              

Inspection items                                              Standard specification                            Inspection result

 

 

 

 

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