BATCH MANUFACTURING RECORD Batch Record : BMR-001

NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 1 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:
1. Product Details
Description TERASOL ® 600mg Bolus(Each bolus contains Tetramisole Hcl 600mg)
Colour: Red
Shape: Oval
Batch quantity Batch size: 205.2kg
No. of boli: 40,000
Shelf life: 36 months
Packaging 12 x 5 Blisters
Storage conditions Store in tight container protected from light and moisture, Tº < 30 ºc

2. Production Batch Record Issuance

Issued by: Issuer has reviewed the batch record to ensure that the copy is a complete, accurate copy of the master batch record
__________________________ _____________________________ _________________________
Issued by- Quality Assurance Signature Date
Issued to: Production has reviewed the batch record to ensure that the copy is complete and correct. Production is responsible for
the batch record following the issuance.
__________________________ _____________________________ __________________________
Issued to- Production Signature Date
Granulation Drying Blending Compression packing
Date of commencement:
Date of completion:
Previous product processed:
Batch No.
Pharmacist’s sign
Checked by Production Head

Actual yield:____________boli Reworking Generated___________kg Total yield:_________________%

Final BMR checked By Production: ____________________ Final BMR checked by QA: ____________________

Precautions for Safety:

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 2 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

 Safety precautions to be taken against explosions in Fluidized Bed Drier & while grinding.

 Protect the respiratory organs from active substance.

 Store the granules & tablets in well closed containers lined with double polythene bags.

 Follow personal hygienic requirements.

Notes:

1. Manufacturing is to be carried out as per requirements of current GMP.

2. Use clean and dry S.S. Equipments at all stages of manufacturing.

3. Carry out sifting and milling operations near dust extraction.

4. All equipments and machineries must be adequately guarded and earthed. The operators must use proper safety equipments
like hand gloves, nose masks, ear muffs, etc. during all operations.

5. Ensure that general cleaning & utensils cleaning are carried out as per respective S.C.P. & checked for cleanliness before use.

6. Ensure that RMG, Octagonal Blender, oscilating granulator, Vibratory sifter, S.S. Sieves, S.S., FBD, Screens, Compression
machine & tools and accessories etc. are cleaned as per respective S.C.P.

7. Before weighing operations, check cleanliness of balances as per S.C.P.

8. Batch size may be varied, depending upon the requirement. Prior permission of QC/QA should be obtained except in case of
batches in which reworking is added.

9. All the ingredients must have been passed by Q.C. Dept., prior to use and must be within retest date.

10.Destroy all rejected material & tablets by putting in a container of water after recording the weights.

Cleaning Record of Machinery & Equipment

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 3 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

S.n Machinery/equipment capacity Calibration Previous Cleaned Cleaned Checked

(done(D)/ND product on by by
1 Balance
2 sifter
3 Paste kettle
4 Rapid Mixing Granulator
5 Fluidized Bed Dryer
6 Tray oven dryer
7 Oscilating Granulator
8 Double cone blender
9 Compression machine-1
10 Compression machine-2
11 Blistering Machine
12 Strip packing machine

Line clearance and opening before dispensing

- Check the dispensing area is cleaned and make assured the cleanliness by IPQA

- Make sure that all materials from previous operations have been removed

- Check the equipment and accessories from previous operations have been removed

- Make sure the paperwork from previous operations has been removed

- Check the status labels from previous operations have been removed

- Make sure the reverse laminar flow dispensing booths and surrounding area is cleaned &

Status is displayed

- Assure all the equipment & accessories required for dispensing are clean & labeled as
such.

Bill of Raw Materials & Weighing Record

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 4 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

S.n Ingredients A.R.No. Qty/bolus Qty/batch Tare Gross Net Weighed Checked
(mg) (kg) wt wt wt by by
1 Tetramisole Hcl
2 Maize starch
3 Dicalcium Phosphate
4 Red color
5 Sodium starch glycolate
6 HPMC 15 mpass
7 Mg. stearate
8 Colloidal silicon dioxide
Requisition given Cleanliness checked Issued by:________________
by:______________________________ by:________________________
Date________________
Date:______________ Date:______________
Checked by:_______________________ Cleanliness verified by:________ Received by:________________
Date:___________________________ Date:______________ Date__________________

Line clearance and opening prior to sifting/paste preparation/granulation/drying/milling/blending/compression

Check the areas for the following

- All materials and residues from previous operations have been removed.

- Utensils and accessories from previous operations have been removed.

- Containers used for previous operations have been removed.

- Paperwork from previous operations have been removed.

- Status labels from previous operations have been removed

- All equipment is clean and labeled as such

- Areas are clean and status is displayed

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 5 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

Sr. Operations Date & time Operation

No of operation
.
From To Done Checked
by by
Sifting Process
1. Previous product____________________
Batch No._________________________
Area clearance & opening by production & QA
1.1 Check the integrity of the sieve before & after sifting of individual
material.

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 6 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

Sift the material as per sequence & with 1.5mm sieve.

1.2 Tetramisole Hcl………………………24kg
Maize starch…………………………..85kg
Dicalcium Phosphate……………........78kg
Sodium starch glycolate………………2.8kg
1.3 Check for residue if any for each ingredient & replace the material
retained over sieve with fresh material & record the weight.
2 Granulation solution preparation process
Previous product____________________
Batch No._________________________
Area clearance & opening by production & QA
2.1 Prepare HPMC ………………...8kg
Prepare demineralized water…..55kg
Prepare red color………………0.4kg
2.2 Make slurry first slowly with continuous stirring in isolated container
2.3 Add the slurry to the paste preparation kettle with continuous stirring
2.4 Set the Tº of paste kettle upto 65 ºc
2.5 Set the time for 30minutes and run the process
2.6 Check if the granulation solution is clearly dispersed and thick
enough to bind the granule for being to be compressed
2.7 Wait until the Tº of the solution become less than 50 ºc
2.8 Transfer the solution to the isolated container and make it ready to
the granulation process

Date & time Operation

s.n Operation of operation
From To Done Checked
by by
3 Granulation process
Previous product____________________
Batch No._________________________
Area clearance & opening by production & QA
3.1 Transfer from stage 1.2 into RMG mixer i.e.
Tetramisole Hcl………………………24kg
Maize starch…………………………..85kg
Dicalcium Phosphate……………........78kg
Batch No. Mfg Date: EXP date:
 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 7 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

Sodium starch glycolate………………8kg

Mix for 5minutes at slow speed for homogeneity.
3.2 Pump the granulation solution of stage 2.1, in a thin stream into
mixer, while mixing at slow speed within 6minutes. Then mix
3minutes on fast speed. Scrap and mix for 1 minute. With the agitator
and chopper “ON” to get suitable consistency of granulation.
Continue the mixer further on slow speed. If necessary add extra de-
ionized water to get suitable consistency of granules. Note down the
weight of extra de-ionized water added.
3.3 Transfer the granules to FBD bowl through the discharge port. Keep
the agitator at slow speed and chopper in “OFF” position during
transferring the wet mass
Extra purified/de-ionized water added:__________kg
4 Drying process
Previous product____________________
Batch No._________________________
Area clearance & opening by production & QA
4.1 Dry the wet mass of stage 3.3, in FBD at ambient Tº for 15minutes &
then at 65 ºc for 15min. Rake over intermittently so that all the
material in contact with the filter bag is turned.

s.n Date & time Operation

Operation of operation
From To Done Checked
by by
4.2 Check if it is dried, drying is adequate when the moisture content is
3.0%-4.0%, then transfer it to isolated containers from the bowl.
Inlet dumper:…………%(70-100%)
Exhaust dumper:……….%(20-40%)
Inlet temperature:…………%(60-70 ºc)
Outlet temperature:…………%(25-45 ºc)
Total time taken for drying:………..min
Total wt. of the dried granule:………..kg

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 8 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

5 Sizing process
Previous product____________________
Batch No._________________________
Area clearance & opening by production & QA
5.1 Check the integrity and intactness of the sieve before use.
5.2 Pass the dried granule and grind the coarse material through the
oscilating granulator using 2mm screen/sieve downward direction
oscilating forth & back of the roller of the oscilating granulator.
5.3 Collect the granule from the discharge port of the machine using isolated
containers by sealing the port by polyethylene to protect dust, wastage
generation and for safety.
6 Blending process
Previous product____________________
Batch No._________________________
Area clearance & opening by production & QA
6.1 Reworking
The total qty. of reworking added should not exceed 3% of the batch qty.
The reworking to be added should be crushed through 2mm screen/sieve
using oscilating granulator. Add the reworking to the bulk of blending.

S.n Quantity Batch # Mfg. Date Exp. Date

Date & time Operation

s.n Operation of operation
From To Done Checked
by by
6.2 Transfer granules of stage 4.2 and reworking of stage 6.1 if any to
the double cone blender by sandwich method & mix for 5 min.
6.3 Sift through 2mm sieve
-colloidal silicon dioxide……….0.7kg
-magnesium stearate…………….1.1kg
6.4 Transfer the glidant & lubricant of stage 6.3 to the bulk blend of
stage 6.2 and mix for 10 minutes
6.5 Collect the blended granule in isolated container & record weight.
Batch No. Mfg Date: EXP date:
 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 9 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

Theoretical weight=………kg + weight of reworking=……….kg

Std. yield:99.5% permissible yieild:97-102.5%

Lubricated granule out put

Balance ID No…………..

Container Gross wt. (kg) Tare wt. (kg) Net wt.(kg) Weighed Checked by Date
by
1
2
3
4
5
6
7
8
9
Total

S. Operation Date & time Operation

N operation
From To Done Checked
by by
7 Compression process
Previous product____________________
Batch No._________________________
Area clearance & opening by production & QA
7.1 Compress the granule into big tablets/bolus as per given
specification and give sample to IPQA to check the in process
quality parameters (listed below)
7.2 Receive any comments for adjustment from supervisor/pharmacist
and/or IPQA personnel.

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 10 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

7.3 Proceed the compression process if the IPQA allow you to do so.

Description of the bolus Red coloured, oval tablet with breaking line embossing on one side
Machine used
Punches and dies ……..mm oval, break line on one side
Setting of the machine and Checking
of complete rotation By:………………………………… Checked by………………………….
commencement Date ……………………….. time ………………….
completion Date ……………………….. time ………………….

s.n Parameter Actual Standard signature

1 Wt. adjustment: per 10 boli 5130mg+/-3%
(4976mg-5284mg)
2 Apearance As per the spec.
3 Hardness NLT 6kg/cm2
4 Thickness
5 Disintegration time NMT 45min
6 Friability (Av. wt. of 10 boli) NMT 1%
7 Machine speed RPM
8 Temperature ◦C
9 Humidity %

In process follow up sheet

Time Actual wt. Disintergratio Friability Hardness Thickness signature Checked by
of 10boli n (IPQA)
time
5gm+/-3% NMT 15min NMT 1% NLT
6kg/cm2

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 11 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

N.B.: Check & record

1. The average weight of 15 boli, every 15minutes
2. Weight variation of 6 boli, every 15 minutes
3. Average thickness of 3 boli, every 15 minutes
4. Dis integration of 6 boli, every 15 minutes
5. Average hardness of 3 boli, every 15 minutes
6. Friability of 6 boli, every 15 minutes

Weight Variation Record

Machine Id. No.___________ Balance Id. No.______________
Date:___________________ Shift:_____ Wt. variation limit:+/- 3% of Av. Wt.
Wt of 15 boli
g g g g g g g
Av. Wt. of bolus
mg mg mg mg mg mg mg
Time in 15 minutes
Weight of individual bolus in mg

1.
2.

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 12 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

3.
4.
5.
6.
7.
8.
9.
10.
11
12
13
14
15
Max. Wt. Allowed
Actual
Min. Wt. Allowed
Actual

Bolus out put form

Balance Id. No.

Container Gross wt.(kg) Tare wt. (kg) Net wt. (kg) Sign/Date
1.
2.
3.
4.
5.
6.
7.

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 13 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

8
9.
10.
11.
Total wt. in kg:__________ No. of Boli:_________
(Actual yield)
Reworking generated:………………………kg

Theoretical yield:…………………………kg.+ Reworking……………………kg

Total theoretical yield:……………………..

Standard yield: 99% Actual yield:…………. Permissible yield:98%-102%

Check by Pharmacist________________ Date:____________________

Inspection of bolus
De-dust and inspect the boli for black spots, foreign particles, chipped or broken boli
A Record the weight of rejected boli i.e: boli with the black spots and foreign particles and put in
water for destruction
Weight of boli:_______kg
B Chipped and broken boli of over and under weight, generated during compression, can be
reworking for the next batches. So weigh & record the boli, transfer to polyethylene bags in
suitable container.
Weight of boli:_______kg

PACKAGING

Line clearance and opening before packaging

Check the blistering room, blistering machine, strip packing room, strip packing machine, code printing
areas, the manual packing room and any apparatus used for packaging. Following to checking tick
operations/observations (√) which are ACCEPTABLE and put (N/A) against any operations/observations
which are NOT APPLICABLE.

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 14 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

S.n Description √ NA Done Checked

by by

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 15 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

1 Assure all materials & residues of the previous operations have been removed
and check the blistering/strip packing room is clean and status is displayed
2 Check the blistering/strip packing machine is clean and status is displayed
3 Check the base foil splicing station and surrounding area
4 Check hopper and surrounding ledges including ladder
5 Check the forming area, surrounding ledges & cables including opening the
door behind the forming station at the back of machine and checking the area
6 Check sealing station
7 Check bliter/strip coding block has been removed & dye/coding station is
clear.
8 Check perforation station and surrounding area
9 Check all ledges around and below the punching station area
10 Check the blister/strip eject chute & check around, below and inside
blister/strip eject chute
11 Check around & around the blister/strip transfer conveyor
12 Check floor area and machine supports around/front/back of the machine
13 Check the top of the machine
14 Check all containers/collectors/bowls/trays are clean
15 Check the manual packing room is clean
16 Check whether the packaging materials are enough for the batch
17 Ckeck the precoding of labels and printed packaging materials are examined &
verified
18 Check the precoding label & printed box specimen is attached

s.n Operation Date & time of operation

operation
From To Done Check
by ed by
8 Blistering Process
Previous product____________________
Batch No._________________________
Area clearance & opening by production & QA
8.1 Adjust the batch No., mfg. date and Exp. date
8.2 Put the foils(Aluminium & PVC) on their right place & fix it tightly
8.3 On the blistering machine and set the forming and sealing temperature
Batch No. Mfg Date: EXP date:
 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 16 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

8.4 Wait for heating until the temperature set is dispayed

8.5 Set the required machine speed and start blistering with empty foils
8.6 Give the sample empty blister to QC personnel & check the batch No.,
Mfg. & Exp. Date, its appearance and leak test.
8.7 If the check ensures ok & should sign and attach the specimen, then
run the blistering machine with boli and give some blisters filled with
boli to QA/QC personnel and wait until the IPQA result approval,
8.8 When QA/QC personnel give you an approval, proceed the blistering
process and give samples of blisters for QA/QC personnel every 30
minutes for inprocess follow up.
In process follow up sheet
Take samples to check and record/tick operations/observations (√) which are ACCEPTABLE
and put (N/A) against any operations/observations which are NOT APPLICABLE.
Time Forming Sealing Appearance Batch # Mfg. Exp. date Leak test
temperature temperature date
Tº Tº √/NA √/NA √/NA √/NA √/NA

s.n Operation Date & time of operation

operation
From To Done Checked
by by
9 Manual Packing
Previous product____________________
Batch No._________________________
Area clearance & opening by production & QA
9.1 Precode labels and printed boxes the batch No., mfg. date and Exp.
date
9.2 Give the precoded labels & printed boxes to QA/QC personnel to
check the batch #, mfg date and exp. date
9.3 When the QA/QC gives approval & sign, attach the specimen and
proceed for manual packing process.
Batch No. Mfg Date: EXP date:
 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 17 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

9.4 Prepare printed box of TERASOL® 600 in a way that hold 12

blisters
9.5 Insert 1 leaflet of the TERASOL® 600 into the printed packaging
material/printed box of TERASOL® 600 and insert 12blisters of
TERASOL® 600 and close the printed box then put the printed box
into transport cartoon (24 printed boxes in one transport cartoon) and
close the transport cartoon and seal it by adhesive tape using an
apparatus.
9.6 Situate the precoded label on both sides of the transport cartoon using
paper glues.
Packaging Description ________________________________________________________
Precoding of labels and printed packaging material examined& verified by 
________________________________________________________________
                                               (attach specimen)
No. of precoded
             I.      Labels received ________________________________________________________
          II.      Printed packaging material received _______________________________________

Date Start. time Clos. time Name of person responsible for

 Manual Coding                   Other package

code   Checking           Counting &
                                             filling in boxes
                                            

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 18 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

Total Quantity packed _________________________________________________

Date of completion ____________________________________________________
Qty. collected as samples by Q/C Department ______________________________

Reconciliation of labelling& Packaging Materials

Al./strip foil PVC in Labels in Leaflets in Printed Transport

in kg kg pcs pcs boxes in Cartons in pcs
pcs
Requisitioned/Received
Used
Returned
Destroyed
Destroyed on
Destroyed by

Actual yield _________________________________________________________

Theoretical yield _____________________________________________________
Whether within limits __________________________________________________
Q/C Report of finished product __________________________________________
(Status No. & date and release order) _____________________________________

Batch No. Mfg Date: EXP date:

 BATCH MANUFACTURING RECORD Batch Record : BMR-001
NATIONAL
VETERINARY INSTITUTE

TERASOL® 600 Bolus Issue No: 01 Page No:

Page 19 of 19
Prepared by Name Signature Date Revision No.:
___________________________ ______________ ______________
Production:
Approved by Name Signature Date Effective Date:
___________________________ _____________ ______________
QA/QC:

Sign.of Supervisor__________________________________
Checked by:____________________________________

Date of release ______________________________________________________

Qty. released ________________________________________________________
Date of transfer of finished ______________________________________________
Product to warehouse _________________________________________________

Counter signed _________________________

                                  
HEAD OF QA/QC DEPARTMENT

Batch No. Mfg Date: EXP date: