Body Fluid Examination

PNP sample request form for bloody fluid examination

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(Drug Test)

Republic of the Philippines
Department of the Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
_________________________________________
___________________________
MEMORANDUM
FOR

:

FROM

:

SUBJECT

:

DATE

Director, PNP Crime Laboratory

:

Request for Body Fluid Examination

1.
Request conducts drug test on the accompanying specimen to determine
the presence of dangerous drugs.
a)

NATURE OF CASE :

b)

SUSPECT

:

c)

TDPO

:

d)

SPECIMEN SUBMITTED :

2.
Further request that this Office be furnished a copy of cross-matching
examination result for our reference.

____________________________
(CHIEF OF OFFICE)