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Daily Controlled Drug Issurance Log Form

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Issued Date: 01-05-2024

Daily Controlled Drug Issurance Log MDL-PHARM-RE-009|01

Effective Date:10-06-2024

Department : ----------------------------

Dose/ Remaining
Drug Total Ordered Prepared Checked Discarded
Date Time Patient Name CPI Strength In stock
Name Qty by by by Qty
given Qty

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