9b TEST ARTICLE ACCOUNTABILITY RECORD NAME OF INSTITUTION _______________________________ PROTOCOL No. ____________________________________________________ DRUG NAME, DOSE FORM & STRENGTH ____________PROTOCOL ______________________________________________________ PRINCIPAL INVESTIGATOR ________________________________ DATE SUBJECT ID # DOSE DISPENSED BALANCE MANUFACTURERS LOT # RECORD DATE RETURNED AMOUNT INITIALS (PID) RECEIVED INITIALS RETURNED SB 27001001 800mg QD 38 tabs 372 TA PF 1234 SB 8 tabs
9b TEST ARTICLE ACCOUNTABILITY RECORD NAME OF INSTITUTION _______________________________ PROTOCOL No. ____________________________________________________ DRUG NAME, DOSE FORM & STRENGTH ____________PROTOCOL ______________________________________________________ PRINCIPAL INVESTIGATOR ________________________________ DATE SUBJECT ID # (PID) DOSE DISPENSED RECEIVED BALANCE MANUFACTURERS LOT # RECORD INITIALS DATE RETURNED AMOUNT RETURNED INITIALS 27001001 800mg QD 38 tabs 372 TA PF 1234 SB 8 tabs SB
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