| Sample No: | 1010 |
| Report | Opium |
| US | TOX |
| PS | city thana |
| P.M/M.L | 1/1/1900 12:00:00 AM 01-Jan-1900 |
| P.M/M.L | |
| ACCUSED | 0000 |
| PHYSICAL EXAMINATION | 1010 |
| OPINION | Satisfactory |
| DESCRIPTION | |
| PHYSICAL APPEARANCE | |
| GRAMS | |
| Test Performed | |
| G.W.S | |
| N.W.S | |
| ALCOHOL METER | |
| REFRACTO METER |