Amhara Public Health Institute Dessie Branch Regional Reference Laboratory
Title: Reagent Verification Log Sheet Document No: APHIDBL-ALS-F5.3-08
Version No: 01
Section: All Laboratory Sections Page No: 1 of 1 Effective date: December 15/ 2019
Old Lot New Lot
SN Date Item Description Result Result Verification Status Verified by Remark
Accepted Rejected
Reviewed by: ________________ Signature: _________ Date: ____________
Authority for Issue: APHIDBL Authorized Date: November 15/2019
This is a controlled document for internal use only