| Sample Number | 101136 |
| Report | AlcoholinBlood |
| US | U/S-21 |
| PS | City Thana |
| P.M/M.L | P.M/M.L-21 |
| NAME OF ACCUSED | NAME OF ACCUSED-21 |
| PHYSICAL EXAMINATION | PHYSICAL EXAMINATION-21 |
| OPINION | |
| DESCRIPTION | |
| PHYSICAL APPEARANCE | |
| GRAMS CONSUMED | |
| Test Performed | |
| GROSS WEIGHT SAMPLE | |
| NET WEIGHT SAMPLE |