FORM NO.7
(See rules 35, 53, 64 and 67A)

1. Name of the laboratory/research institution/person/hospital/dispensary:
2. Address
3. Name of the Drug
4. From whom the drug was obtained/purchased
5. Quantity (in grams) obtained/purchased
6. Date on which obtained/purchased
Details of Use: —
Sl. No. Date Quantity consumed Purpose Signature of the user
Note: (1) This form shall be kept for 2 years from the last date of consumption.
(2) This shall be produced for verification by any of the officers empowered
under section 41 or 42 of Narcotic Drugs and Psychotropic Substances ct or any officer-in-charge of a police station.