| Sample No: | BS-625/26 |
| Report | AlcoholEthanol |
| US | US |
| PS | Police Station |
| P.M/M.L | 1/1/1900 12:00:00 AM 01-Jan-1900 |
| P.M/M.L | |
| ACCUSED | ACCUSED |
| PHYSICAL EXAMINATION | PHYSICAL EXAMINATION |
| OPINION | OPINION |
| DESCRIPTION | |
| PHYSICAL APPEARANCE | |
| GRAMS | |
| Test Performed | |
| G.W.S | |
| N.W.S | |
| ALCOHOL METER | ALCOHOL METER |
| REFRACTO METER | REFRACTO METER |