[Reg. 10 (1).]

1200

THE HONG KONG GOVERNMENT GAZETTE, DECEMBER 13, 1935.

Address of person, body or firm from whom obtained.

Amount

obtained.

Form in which

obtained.

Record of

SCHEDULE I.

Here insert the name) of the drug to which the record relates.

purchased or otherwise obtained.

Date on which supply received.

Name of person, body or firm from whom obtained.

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