| Sample No: | 4-5-27 |
| Report | Food |
| US | US |
| PS | Police Station |
| P.M/M.L | 1/1/1900 12:00:00 AM 01-Jan-1900 |
| P.M/M.L | |
| ACCUSED | NAME OF ACCUSED |
| PHYSICAL EXAMINATION | PHYSICAL EXAMINATION |
| OPINION | |
| DESCRIPTION | |
| PHYSICAL APPEARANCE | |
| GRAMS | |
| Test Performed | Infest,Debris |
| G.W.S | |
| N.W.S | |
| ALCOHOL METER | |
| REFRACTO METER |