Ship Medicine chet has been inpected onboard :

MV.
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Accoding to :

1. Ship’s Medicine Chest * is / is not proper lockers .

2. Medical and surgical equipment * are/ are not in good condition
3. Medicine in stock * are not sufficient quantity and good according to the scale
applicable and they* are/are not properly labelled.
4. Medicine for dealing with infectius diseases*are/are not stocked in sufficient
quantities.
5. Reference books and leterature * are present.
6. The life boat medicines and medical equipment are in good condition.

R E M AR K S
_________________

MASTER Tanjung Priok,______________

Port Health Inspector,

(________________) (_____________________)

Nationality :
Total Crew :
Life Boat :
Agen :