Record of
Here insert the name of the drug to which the record relates.
sold or supplied.
THE HONG KONG GOVERNMENT GAZETTE, DECEMBER 13, 1935.
Form in which
sold or
supplied.
When sale is on
a prescription, specify the ingredients
of the
prescription.
Amount sold
or supplied.
Date on which the transaction
was effected.
Name of person, body or firm to whom sold or
supplied.
Address of person, body or firm to whom
sold or
supplied.
Authority of person, body or firm to be in possession of the drug.
1201
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