Sample request Format of Body Fluid Examination

(Drug Test)

Republic of the Philippines

Department of the Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
_________________________________________
___________________________

MEMORANDUM

FOR : Director, PNP Crime Laboratory

FROM :

SUBJECT : Request for Body Fluid Examination

DATE :

1. Request conducts drug test on the accompanying specimen to determine

the presence of dangerous drugs.

a) NATURE OF CASE :

b) SUSPECT :

c) TDPO :

d) SPECIMEN SUBMITTED :

2. Further request that this Office be furnished a copy of cross-matching

examination result for our reference.

____________________________
(CHIEF OF OFFICE)