1. DETAIL OF SAMPLES SEIZED DURING MONTH
SAMPLE No.. SLIP No.-CODE DATE NAME NAME OF VENDOR P F
No. OF
ARTICLE
1/MSD/
2/MSD/
3/MSD/
4/MSD/
5/MSD/
6/MSD/
7/MSD/
8/MSD/
9/MSD/
10/MSD/
11/MSD/
12/MSD/

2. 13/MSD/
14/MSD/
15/MSD/
16/MSD/
17/MSD/
18/MSD/
19/MSD/
20/MSD/
21/MSD/
22/MSD/
23/MSD/
24/MSD/
25/MSD/
26/MSD/
27/MSD/

3. 28/MSD/
29/MSD/
30/MSD/
GOVT. FOOD INSPECTOR
……………………………………