Subject Initials Subject Number Label Kit/ Date Dispensed Date Number Returned Comments dispensed Lot-No./ dispensed by returned returned by No. (first name- Batch-No./ (dd/mm/yy) (initials) (dd/mm/yy) (initials) last name) Expiry Date Study-Code: Protocol Identification: Date :…………………………. Signature of Investigator:………………………………………………… (dd/mmm/yy)
Study-Code: Protocol Identification: Subject Initials (first name- last name) Subject No. Number dispensed Label Kit/ Lot-No./ Batch-No./ Expiry Date Date dispensed (dd/mm/yy) Dispensed by (initials) Date returned (dd/mm/yy) Number returned Returned by (initials) Comments Date (dd/mmm/yy) :…………………………. Signature of Investigator:…………………………………………………
drug-device-accountability-log-v5.0-okt-2017_20171019141846.docx