Company Name	Quality Assurance Department
Product Release Certificate for Sale		Form No.
		Revision No.:-
		Issue Date:-

Product:	Batch No.:			Pack Size
Mfg. Date:	Exp. Date:			QA No:
B. Size:	Quantity:			Date:
Observations			Compliance to Requirement
			Yes		No	Sign
Master Shippers Checked For		Verification Description
Claim Quantity
Correct Labeling
Correct Packing
Outer Shippers Checked For
Claim Quantity
Correct Labeling
Correct Packing
Outer / Unit Cartons Checked for
Product Name
Batch No.
Manufacturing Date
Expiry Date
M.R.P Rs.
Pack Size Quantity
Blisters / Vials / Ampoule/ Bottles  Checked for
Correct printing / Correct labeling
Product Name
Batch No.
Manufacturing Date
Expiry Date
M.R.P. Rs.
Documents Review
In-Process Documents Verification
Final Release Documents Verification
Reconciliation and other verification

Release for Sale

Hold

Remarks: ________________________________________________________________________________

Q.A. Officer _____________________                                    Q.A. Manager _________________

Signature /  Date                                                                              Signature / Date

Prepared By: QA Officer

Reviewed By: QA Manager

Authorized By: Director