| Sample Number | 1010 |
| Report | Opium |
| US | TOX |
| PS | |
| P.M/M.L Date | 1/1/1900 12:00:00 AM 01-Jan-1900 |
| P.M/M.L | |
| NAME OF ACCUSED | 0000 |
| PHYSICAL EXAMINATION | 1010 |
| OPINION | Satisfactory |
| DESCRIPTION | |
| PHYSICAL APPEARANCE | |
| GRAMS CONSUMED | |
| Test Performed | |
| GROSS WEIGHT SAMPLE | |
| NET WEIGHT SAMPLE |
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