Company Name
|
Q.A Department
|
|
DESTRUCTION
NOTE OF RETAINED SAMPLE/BATCH HISTORY
|
||
Revision No.:
|
||
Issue
Date:
|
||
Date
|
Product name
|
Batch
No
|
Mfg
Date
|
EXP Date
|
Qty
|
Destroyed
by
|
Reviewed
By
|
Reason
|
Q.A
Officer: ____________ Q.A Manager:-_____________ Director: ____________